A nurse is in a client’s room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first?

Check the client’s motor strength.

Turn the client’s head to the side.

Document the time the seizure began.

Loosen the clothing around the client’s waist.

Answer and Explanation

The Correct Answer is B

A: Checking the client’s motor strength is not the first priority during a seizure. Ensuring the client’s safety and airway patency is more important.

B: Turning the client’s head to the side is the first action. This helps maintain an open airway and prevents aspiration of saliva or vomit.

C: Documenting the time the seizure began is important for medical records but is not the immediate priority during the seizure.

D: Loosening the clothing around the client’s waist can help with comfort but is not the first action to take during a seizure.

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Correct Answer is A

Explanation

A: Renal dysfunction is common in older adults and can lead to decreased clearance of medications from the body, increasing the risk of toxicity. Monitoring for signs of toxicity is crucial in this population.

B: Pancreatic impairment can affect digestion and insulin production but is not the primary reason for monitoring medication toxicity in older adults.

C: Increased gastric motility is not typically associated with aging. In fact, decreased gastric motility is more common and can affect drug absorption.

D: Increased blood volume is not a common physiological change in older adults. Decreased renal function and changes in body composition are more relevant factors affecting medication metabolism and excretion.

A. Pull the fire alarm. B. Extinguish the fire. C. Confine the fire. D. Rescue the clients.

Correct Answer is D,A,C,B

Explanation

A: Pulling the fire alarm is essential to alert others to the fire and initiate the emergency response. However, it should follow the immediate rescue of clients.

B: Extinguishing the fire is important but should be done after ensuring the safety of clients and confining the fire.

C: Confining the fire helps prevent it from spreading and should be done after pulling the fire alarm.

D: Rescuing the clients is the first priority to ensure their safety. Clients should be moved to a safe area away from the fire.

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A nurse is in a client’s room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse closely monitors an older adult for signs of medication toxicity. Which physiological change is the reason for the nurse’s action?

Correct Answer is A

Explanation

A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps, placing them in the selected order of performance. Use all the steps.)

Correct Answer is D,A,C,B

Explanation

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