A nurse is caring for a patient who has just experienced a tonic-clonic seizure. Which of the following actions should the nurse perform first after ensuring the patient's safety?

Document the seizure activity in the patient's medical record.

Check the patient's vital signs

Administer oral antiepileptic medication.

Place the patient in a side-lying position.

Answer and Explanation

The Correct Answer is D

A.   Documenting the seizure activity is important but should be done after addressing immediate needs.
B.   Checking the patient's vital signs is important but is secondary to positioning the patient safely to prevent aspiration.
C.   Administering oral antiepileptic medication is necessary but not the first action following a tonic- clonic seizure.
D.   Placing the patient in a side-lying position immediately after the seizure ensures that the airway remains open and reduces the risk of aspiration.

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Free Nursing Study Resources

Correct Answer is ["1440"]

Explanation

To calculate the total units of heparin per hour:

Multiply the patient’s weight (80 kg) by the dosage (18 units/kg/hour):

80 kg × 18 units = 1440 units/hour.

This means the patient should receive 1440 units of heparin per hour.

A. MRI of the wrist B. Electromyography (EMG) and nerve conduction studies C. Ultrasound of the wrist D. X-ray of the wrist

Correct Answer is B

Explanation

A. MRI of the wrist can help rule out other conditions, but it is not the most specific test for diagnosing carpal tunnel syndrome.
B. Electromyography (EMG) and nerve conduction studies are the gold standard for diagnosing carpal tunnel syndrome. These tests measure the electrical activity of the muscles and the speed of nerve impulses to confirm nerve compression.

C. Ultrasound of the wrist may be helpful in visualizing the median nerve but is not as definitive as EMG and nerve conduction studies.
D. X-ray of the wrist would not be useful in diagnosing carpal tunnel syndrome as it does not show soft tissue or nerve involvement.

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A nurse is caring for a patient who has just experienced a tonic-clonic seizure. Which of the following actions should the nurse perform first after ensuring the patient's safety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 65-year-old adult patient weighing 80 kg is prescribed a continuous heparin infusion. The order is for 18 units/kg/hour. The pharmacy supplies heparin in a concentration of 25,000 units/500 mL. Determine the total units of heparin the patient should receive per hour.

Correct Answer is ["1440"]

Explanation

A 38-year-old construction worker reports hand weakness and difficulty gripping tools. Examination reveals atrophy of the thenar eminence and decreased sensation in the thumb, index, and middle fingers. What diagnostic test would most likely confirm the diagnosis of carpal tunnel syndrome?

Correct Answer is B

Explanation

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