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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the correct answer. A snug-fitting bra helps suppress lactation and provides support to relieve discomfort. It should be worn continuously, even while sleeping, for 72 hours.
B. Moist heat stimulates milk production and should be avoided. Instead, cold compresses can help reduce swelling.
C. Fluid restriction is not necessary and could lead to dehydration.
D. Manually expressing milk will encourage continued milk production rather than suppressing lactation.
Correct Answer is D
Explanation
A. A referral to long-term care is premature since the client lives independently and may not require institutionalized care.
B. Assisted living accommodations are not necessary unless the client struggles with self-care or safety concerns.
C. Adult day care is beneficial for socialization but does not address the primary issue of diabetes management in a rural setting.
D. Telehealth services allow clients in rural areas to consult with healthcare providers remotely, improving access to care, medication management, and education on diabetes self-care.
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