A nurse is implementing seizure precautions for a newly admitted client. Which of the following equipment should the nurse place in the client's room?

Suctioning device

Bite block

Vest restraint

Padded tongue blade

Answer and Explanation

The Correct Answer is A

A. Suctioning device – Correct. A suctioning device is essential to clear the airway in case of excessive secretions during or after a seizure.

B. Bite block – Incorrect. Bite blocks are not used during seizures as they can cause injury. Nothing should be placed in the client’s mouth during a seizure.

C. Vest restraint – Incorrect. Restraints should not be used on clients with seizure disorders as they can cause injury.

D. Padded tongue blade – Incorrect. Tongue blades should never be inserted into the mouth of a seizing client due to the risk of airway obstruction and oral trauma.

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Correct Answer is D

Explanation

A. Place the client on an air mattress – While air mattresses help prevent pressure ulcers, they do not directly address mobility needs in the immediate postoperative period.

B. Rewrap the bandage every 8 hr in a circular pattern – The bandage should be reapplied more frequently (every 4–6 hr) using a figure-eight pattern to prevent restriction of circulation.

C. Turn the client every 4 hr while in bed – Clients should be turned at least every 2 hr to prevent pressure ulcers and improve circulation.

D. Instruct the client to use an overbed trapeze to move around in bed – This is the best intervention because it allows the client to reposition independently, reducing the risk of skin breakdown and enhancing mobility.

A. Tachycardia B. Hearing loss C. Insomnia D. Blurred vision

Correct Answer is D

Explanation

A. Tachycardia – Digoxin toxicity typically causes bradycardia, not tachycardia, due to its effect on the AV node.

B. Hearing loss – Digoxin does not commonly cause hearing loss; ototoxicity is more associated with aminoglycoside antibiotics.

C. Insomnia – While some neurological symptoms may occur, insomnia is not a classic sign of digoxin toxicity.

D. Blurred vision – This is the correct answer. Digoxin toxicity can cause visual disturbances such as blurred vision, yellow-green halos, and scotomas. Other signs include nausea, vomiting, anorexia, fatigue, and cardiac arrhythmias.

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A nurse is implementing seizure precautions for a newly admitted client. Which of the following equipment should the nurse place in the client's room?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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