A nurse is providing education to the family of a client who has a new diagnosis of epilepsy. Which of the following seizure precaution instructions should the nurse include regarding care of the client when they start having a seizure?
move objects away from the client
insert a padded tongue blade into the client's mouth
place the client on his back
restrain the client
The Correct Answer is A
Choice A reason: This is the correct answer. Moving objects away from the client during a seizure helps to prevent injury. Ensuring a safe environment is a key aspect of seizure management to protect the client from harm during the episode.
Choice B reason: Inserting a padded tongue blade into the client's mouth is outdated and potentially harmful advice. It can cause injury to the client's mouth or teeth and may obstruct the airway, making it inappropriate for seizure management.
Choice C reason: Placing the client on his back can increase the risk of aspiration or airway obstruction. It is safer to place the client on their side to maintain a clear airway and reduce the risk of choking on saliva or vomit.
Choice D reason: Restraining the client during a seizure can cause injury and is not recommended. Allowing the seizure to proceed naturally while ensuring the environment is safe is the preferred approach. Restraints can lead to muscle or skeletal injuries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Chewing sublingual medication is inappropriate as it is designed to dissolve under the tongue for rapid absorption into the bloodstream. Chewing it would alter the intended administration route and reduce its effectiveness.
Choice B reason:
Allowing the medication to dissolve completely under the tongue is correct and ensures that it is absorbed quickly into the bloodstream. This method allows the active ingredient to bypass the digestive system and liver, providing faster therapeutic effects.
Choice C reason:
While it is essential to follow any specific dietary instructions for medications, drinking juice or water typically does not interfere with sublingual medications. This statement does not accurately reflect the correct administration technique.
Choice D reason:
Placing sublingual medication between the cheek and gum is incorrect as this method is intended for buccal medications, not sublingual ones. Sublingual medications should be placed under the tongue to dissolve properly.
Correct Answer is D
Explanation
Choice A reason:
Acyclovir (Zovirax) is an antiviral medication used to treat viral infections such as herpes simplex. It is not effective against fungal infections like oral thrush.
Choice B reason:
Metronidazole (Flagyl) is an antibiotic effective against anaerobic bacteria and certain protozoa but not fungal infections. It is not suitable for treating oral thrush.
Choice C reason:
Amoxicillin (Amoxil) is a broad-spectrum antibiotic used to treat bacterial infections. It has no effect on fungal infections like oral thrush.
Choice D reason:
Nystatin (Mycostatin) is an antifungal medication specifically used to treat oral thrush (candidiasis). It works by binding to the fungal cell membrane, causing it to leak and eventually die, making it the appropriate treatment for the white, milky plaques seen in this immunosuppressed client.
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