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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A blood pressure cuff is not directly needed to assess neurological status. While blood pressure is important to monitor in neurological assessments, it is not the primary tool used for assessing neurological function.
B. A pen light is essential for assessing pupil reaction, which is a key part of a neurological exam. The nurse can use the pen light to check for pupil dilation, constriction, and reaction to light, which are important indicators of brain function.
C. A thermometer is useful for measuring body temperature but is not a primary tool for assessing neurological status. Although fever can be a sign of infection affecting the brain, it is not part of the basic neurological exam.
D. A stethoscope is useful for listening to heart and lung sounds, but it is not typically used for assessing neurological function. The pen light is the more appropriate tool for this purpose.
Correct Answer is A
Explanation
A. Dopamine is the neurotransmitter that is decreased in individuals with Parkinson's disease. Parkinson's disease is characterized by the degeneration of dopamine-producing neurons in the brain, leading to motor symptoms such as tremors, rigidity, and bradykinesia. Levodopa, a precursor to dopamine, is used to increase dopamine levels in the brain and alleviate symptoms.
B. Norepinephrine is involved in mood regulation and other functions, but it is not the primary neurotransmitter involved in Parkinson's disease.
C. Serotonin is a neurotransmitter that affects mood, sleep, and appetite, but it is not the primary neurotransmitter involved in Parkinson's disease.
D. Glutamate is an excitatory neurotransmitter, but its role is more related to other conditions like neurodegenerative diseases such as ALS, rather than Parkinson's disease.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.