A nurse is caring for a client who ingested a poison and is now having seizures.
Which of the following is the priority action the nurse should take?
Maintain the patency of the client's airway.
Identify the poison the client ingested.
Measure the client's blood pressure.
Position the client on her side.
The Correct Answer is A
Choice A rationale:
"I will keep my walker at the end of my bed." This statement indicates that the client understands the importance of having the walker within reach. Placing the walker at the end of the bed ensures that the client can use it immediately upon getting up, providing support and stability, thus reducing the risk of falls.
Choice B rationale:
"I will keep the fluorescent ceiling light on in my room at night." While having adequate lighting is important, using a fluorescent ceiling light throughout the night might disrupt the client's sleep. Additionally, a nightlight or a bedside lamp with a low-wattage bulb can provide sufficient illumination without disturbing sleep.
Choice C rationale:
"I will place an area rug at the entry of my bathroom." This statement indicates a lack of understanding. Area rugs can be tripping hazards, especially in areas prone to moisture like bathrooms. It is advisable to remove rugs and ensure non-slip flooring to prevent slips and falls.
Choice D rationale:
"I will place a bath seat in my shower to use when I bathe." While using a bath seat is a good safety measure, it does not address the client's risk of falling outside the shower area. Installing grab bars and non-slip mats in the bathroom, along with removing potential hazards, would be more comprehensive in ensuring the client's safety. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
A suffix is a word part that is added to the end of a root word to modify its meaning. For example, in the medical term "cardiologist," the suffix '-ologist' means a specialist or expert. A suffix is placed at the end of a root word or a combining form to create a specific medical term.
Choice B rationale:
A word root is the foundational part of a medical term. It contains the core meaning of the term and is not usually modified by prefixes or suffixes. For instance, in the term "cardiology," 'cardi-' is the word root, representing the heart. Word roots provide the essential meaning of the medical term.
Choice C rationale:
A prefix is a word part that is added to the beginning of a root word or a combining form to modify its meaning. Prefixes are important in medical terminology as they indicate locations, numbers, or time. For example, in the term "prehypertension," the prefix 'pre-' means before. Prefixes are added at the beginning of a word.
Choice D rationale:
A combining form is a word root combined with a vowel (usually 'o') that can be joined with other word parts to create a medical term. Combining forms are used as a connector to join a root word and a suffix or another root word. For example, in the term "gastritis," 'gastr-' is the combining form, representing the stomach. Combining forms facilitate the construction of complex medical terms.
Correct Answer is C
Explanation
Choice A rationale:
The spinal cord is not contained in the cranial cavity. The spinal cord is located within the spinal canal, which runs through the vertebral column, providing protection to the spinal cord.
Choice B rationale:
The heart is not contained in the cranial cavity. The heart is situated in the thoracic cavity, between the lungs, and is protected by the ribcage.
Choice C rationale:
The brain is contained in the cranial cavity. The cranial cavity, also known as the intracranial space, houses the brain and provides protection to this vital organ. The brain is the control center of the body, regulating various functions and processing sensory information.
Choice D rationale:
The stomach is not contained in the cranial cavity. The stomach is located in the abdominal cavity, which is situated below the diaphragm and above the pelvis. It is involved in the digestion of food and is not found in the cranial cavity.
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