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Choice B reason: Inserting a padded tongue blade into the client's mouth is outdated and potentially harmful advice.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 A
Explanation
Choice A reason: This is the correct answer. Aspirin at a low dose (e.g., 325 mg) is commonly prescribed for its antiplatelet effects, which help prevent the formation of blood clots. This action reduces the risk of another myocardial infarction by keeping the blood flowing smoothly through the arteries.
Choice B reason: Aspirin does have analgesic properties, making it effective for pain relief. However, the primary reason for prescribing it post-myocardial infarction is its ability to prevent platelet aggregation and reduce the risk of further cardiac events.
Choice C reason: Aspirin can also act as an antipyretic to reduce fever. In the context of myocardial infarction, this property is not the primary reason for its prescription. The focus is on its cardiovascular protective effects through antiplatelet activity.
Choice D reason: Aspirin has anti-inflammatory effects, which are beneficial in various conditions. However, post-myocardial infarction, its main benefit is reducing the risk of clot formation through antiplatelet aggregation rather than its anti-inflammatory properties.
Correct Answer is A
Explanation
Choice A reason:
Diazepam (Valium) is a benzodiazepine used as a first-line treatment for status epilepticus. It is effective in quickly stopping ongoing seizures by enhancing the effect of the neurotransmitter gamma-aminobutyric acid (GABA), which has an inhibitory effect on the nervous system.
Choice B reason:
Ethosuximide (Zarontin) is primarily used to treat absence seizures and is not effective for status epilepticus. It does not act rapidly enough to manage the acute and prolonged seizures seen in status epilepticus.
Choice C reason:
Benztropine (Cogentin) is an anticholinergic medication used to treat Parkinson's disease and medication-induced movement disorders. It is not indicated for managing seizures or status epilepticus.
Choice D reason:
Levodopa (Sinemet) is used to treat Parkinson's disease by increasing dopamine levels in the brain. It has no role in managing seizures and is not appropriate for the treatment of status epilepticus.
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