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Choice B reason: Inserting a padded tongue blade into the client's mouth is outdated and potentially harmful advice.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:
Repositioning the client every 2 hours is a standard preventive measure to reduce the risk of pressure ulcers. Frequent repositioning helps alleviate pressure on vulnerable areas, improving circulation and preventing skin breakdown. This intervention is widely recommended to maintain skin integrity in at-risk clients.
Choice B reason:
Massaging the skin over bony prominences can cause tissue damage and increase the risk of pressure ulcers. Instead of promoting circulation, it can exacerbate skin breakdown and should be avoided as a preventive measure.
Choice C reason:
Positioning the client in high Fowler's is not specifically related to preventing pressure ulcers. High Fowler's position can help with respiratory issues but does not address pressure redistribution needed to prevent skin breakdown in vulnerable areas.
Choice D reason:
Applying cornstarch to keep sensitive skin areas dry is not an evidence-based intervention for pressure ulcer prevention. Cornstarch can create friction and irritation, potentially worsening skin integrity rather than preserving it.
Correct Answer is C
Explanation
Choice A reason: Migraine headaches, while uncomfortable, are not typically associated with atorvastatin use and do not usually indicate a severe or urgent reaction. Immediate reporting is not necessary unless there are other concerning symptoms.
Choice B reason: Hyperglycemia can be a side effect of statin use but is generally managed through monitoring and medication adjustments. It does not typically require immediate reporting unless blood sugar levels are extremely high and unmanageable.
Choice C reason: This is the correct answer. Dark-red urine is a potential sign of rhabdomyolysis, a serious condition that can occur with statin use, where muscle tissue breaks down and releases proteins into the bloodstream. This condition requires immediate medical attention to prevent kidney damage and other complications.
Choice D reason: Night sweats are not a common side effect of atorvastatin and are generally not a cause for immediate concern. They may be related to other underlying conditions that should be investigated, but they do not require urgent reporting in relation to atorvastatin use.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.