A nurse is assisting with the care of a client who has a seizure disorder.Which of the following supplies should the nurse have at the client's bedside at all times?
Padded tongue blades.
Backboard.
Wrist restraints.
Suction equipment.
The Correct Answer is D
Choice A rationale
Padded tongue blades are not recommended as they can cause injury or block the airway during a seizure.
Choice B rationale
A backboard is not necessary for a client with a seizure disorder. The focus should be on airway management and safety.
Choice C rationale
Wrist restraints are not appropriate and can cause harm during a seizure. The client should be kept safe and comfortable.
Choice D rationale
Suction equipment is essential to clear the client's airway of secretions or vomit during a seizure, helping to maintain a patent airway. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Weighing the client before and after peritoneal dialysis helps assess fluid balance and ensure that the correct amount of fluid is removed during treatment. Monitoring weight changes is critical for evaluating the effectiveness of the dialysis.
Choice B rationale
Clean gloves are not sufficient for handling dialysate bags; sterile technique is required to prevent infection. Peritoneal dialysis involves a sterile procedure to reduce the risk of peritonitis.
Choice C rationale
The dialysate should be warmed to body temperature before infusion to prevent discomfort and vasoconstriction. Chilling the dialysate can cause abdominal cramping and reduce the effectiveness of the treatment.
Choice D rationale
Monitoring for diarrhea is not a standard part of peritoneal dialysis care. Peritonitis, not diarrhea, is a common complication of peritoneal dialysis, so monitoring for signs of infection is crucial.
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"C"}
Explanation
The nurse should clarify the prescription for Digoxin due to the client's Irregular heart rhythm.
Rationale for correct prescription: Digoxin requires clarification because it can cause or exacerbate irregular heart rhythms. The client's irregular heart rhythm could indicate digoxin toxicity or an inappropriate dose. Monitoring and adjusting the digoxin prescription can prevent complications. Digoxin is used to control atrial fibrillation but needs careful management. Clarification ensures safe and effective use.
Rationale for other options: Warfarin does not need immediate clarification as there is no indication of excessive bleeding risk. Metoprolol is unlikely to be the cause of irregular rhythm in this scenario. Atorvastatin, used for hyperlipidemia, does not affect heart rhythm. Reported dizziness can be due to various causes and is not specific to digoxin. Palpitations are common in atrial fibrillation and need broader management beyond digoxin adjustment. Irregular heart rhythm strongly points to potential issues with digoxin. Bleeding risk pertains to warfarin management, not relevant here.
Clarification of digoxin is the priority due to direct impact on heart rhythm and patient safety.
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