A nurse is caring for a client who has just started having a seizure. Which of the following interventions should the nurse implement?
Leave the room to initiate a rapid response.
Loosen any clothing around the client's neck.
Place the client in a high-Fowler’s position.
Apply a bite block in the client's mouth.
The Correct Answer is B
A. Leave the room to initiate a rapid response: Leaving the client alone during a seizure places them at high risk for injury. The nurse should remain with the client to provide immediate safety interventions and call for help without leaving the bedside.
B. Loosen any clothing around the client's neck: Loosening clothing helps maintain an open airway and reduces the risk of choking or airway obstruction during the seizure, making it a priority intervention.
C. Place the client in a high-Fowler’s position: High-Fowler’s position is inappropriate during a seizure because it increases the risk of falling or injury. The client should be placed on their side to promote drainage of secretions and reduce aspiration risk.
D. Apply a bite block in the client's mouth: A bite block should never be inserted during an active seizure due to the risk of injuring the mouth or airway. It can only be used before a seizure in specific circumstances, if prescribed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Use condoms with a petroleum-based lubricant: Petroleum-based lubricants can degrade latex condoms, increasing the risk of breakage and HIV transmission. Water- or silicone-based lubricants are recommended to preserve condom integrity.
B. Buy disposable dishes for daily use: HIV is not transmitted through casual contact such as sharing dishes or eating utensils. This practice is unnecessary and may contribute to stigma and isolation for individuals living with HIV.
C. Clean blood-contaminated surfaces with bleach: Bleach is effective in inactivating HIV on surfaces. A solution of 1:10 bleach to water is recommended for cleaning any area contaminated with blood or body fluids to reduce transmission risk.
D. Wash soiled clothes in cold water: Cold water is less effective at killing pathogens. Hot water and standard laundry detergent are recommended for properly cleaning clothing contaminated with blood or body fluids.
Correct Answer is C
Explanation
A. “I wear a hat and long sleeves while I am working.”: This suggests protective behavior that reduces the risk of sun exposure, heat-related illnesses, and contact with harmful agricultural chemicals, indicating awareness of occupational safety.
B. “I am currently sharing my home with two roommates.”: Although crowded living conditions can increase transmission risk of communicable diseases, this alone is not immediately indicative of a health hazard without other factors like poor sanitation.
C. “I eat vegetables directly from the field where I work.”: Consuming unwashed produce in the field exposes individuals to pesticide residues, soil contaminants, and pathogens, posing a significant health risk that requires immediate education and intervention.
D. “My home has running water and electricity.”: Access to clean water and electricity supports good hygiene and safe food preparation, which are positive indicators of living conditions that help reduce health risks.
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.