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 C
Explanation
Choice A rationale
The flu shot provides protection for about one year. It is recommended to receive the flu shot annually for continued protection, especially as flu strains can vary each year.
Choice B rationale
The hepatitis B vaccine does not require annual administration. It is typically given in a series of shots over a few months and provides long-term protection.
Choice C rationale
Performing a breast self-exam a week after each menstrual period is ideal because hormonal changes that cause breast tissue to be tender or lumpy will be minimal, making it easier to detect any unusual changes.
Choice D rationale
Testicular self-exams are recommended to be done monthly, not every 6 months. Regular monthly exams help in early detection of any changes or abnormalities.
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