A nurse is caring for a client experiencing a tonic-clonic seizure. What is the nursing priority in caring for this client?

Educating the client on anticonvulsant medications

Monitor vital signs

Restraining the client

Prevention of occlusion of airway or aspiration

Answer and Explanation

The Correct Answer is D

A. Educating the client on anticonvulsant medications is important, but it is not the priority during an active seizure. Education should be provided after the seizure has ended.

B. Monitoring vital signs is important but should not be the immediate priority during a seizure. The nurse should focus on airway management first.

C. Restraining the client is contraindicated during a seizure. Restraining can cause injury to both the client and the nurse. The focus should be on protecting the client from harm.

D. The prevention of occlusion of the airway or aspiration is the priority. During a tonic-clonic seizure, there is a risk of the client choking, biting their tongue, or having difficulty breathing. The nurse should ensure the airway is open, prevent aspiration, and protect the client from injury during the seizure.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. A concussion is considered a mild traumatic brain injury (TBI) that typically results in a temporary loss of brain function. It is often caused by a blow to the head and may result in confusion, dizziness, and loss of consciousness. However, if concussions occur repeatedly, they can lead to long-term cognitive impairment and other serious conditions like chronic traumatic encephalopathy (CTE).

B. A brainstem contusion is a more severe injury that affects the brainstem, which controls vital functions like breathing and heart rate. It is not classified as a mild injury.

C. A subdural hematoma is a collection of blood between the brain and its outermost covering. It is a serious condition that can result from a traumatic brain injury and is not considered mild.

D. An epidural hematoma is a collection of blood between the skull and the dura mater. It is often caused by a traumatic head injury and is considered a medical emergency, not a mild injury.

A. Delirium B. New onset Alzheimer's disease C. New onset Huntington's disease D. New onset Parkinson's disease

Correct Answer is A

Explanation

A. Delirium is an acute, temporary state of confusion, often caused by factors such as dehydration, infection, or metabolic disturbances. In this case, the elderly client’s confusion following vomiting and not eating or drinking for 2 days suggests that dehydration or an underlying illness is likely causing the delirium.

B. Alzheimer's disease is a progressive, degenerative condition that leads to chronic memory loss and cognitive decline. It does not typically cause sudden confusion, as seen in this case.

C. Huntington's disease is a genetic neurodegenerative disorder that causes motor dysfunction and cognitive decline. It does not present suddenly with confusion in an elderly client.

D. Parkinson's disease is a progressive neurological disorder that primarily affects motor function, causing tremors, rigidity, and bradykinesia. It does not typically present with sudden confusion or the symptoms described in this case.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client experiencing a tonic-clonic seizure. What is the nursing priority in caring for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is considered a mild brain injury, unless the injury occurs repeatedly?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

A nurse is collecting data from a client who has a herniated intervertebral cervical disc. Which of the following findings should the nurse expect? (Select all that apply.)

The nurse is providing care to a patient with a migraine headache. What action should the nurse take?

A nurse is preparing to administer levothyroxine 275 mcg PO to a client. The amount available is levothyroxine 137 mcg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. DO not use a trailing zero.)

A nurse is caring for a client following a lumbar laminectomy. Which of the following actions should the nurse take?

The nurse is working in a college clinic when a student comes in and says, "I think I have a migraine. My head hurts, I cannot stand the bright light, and I feel sick to my stomach." What additional finding is most concerning?

A nurse is reinforcing teaching with the family of a client who has primary dementia. Which of the following manifestations of dementia should the nurse include in the teaching?

A nurse is caring for a client who has Alzheimer's disease. The nurse discovers the client entering the room of another client, who becomes upset and frightened. Which of the following actions should the nurse take?

A client has a herniated lumbar disk at L5. The nurse knows that which of the following symptoms needs to be immediately reported to the RN or physician?