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

Answer and Explanation

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Choice B reason: Inserting a padded tongue blade into the client's mouth is outdated and potentially harmful advice.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.

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Correct Answer is B

Explanation

Choice A reason:

Increased temperature is not a typical finding associated with fluid volume overload. Fluid volume overload affects the circulatory and respiratory systems primarily, and while fever can indicate infection or inflammation, it is not a direct consequence of fluid volume excess.

Choice B reason:

Increased blood pressure is a common finding in fluid volume overload due to the increased volume of blood in the circulatory system. This excess volume can lead to hypertension as the heart works harder to pump the additional fluid, making this a key indicator of fluid volume overload.

Choice C reason:

Bradycardia, or a slow heart rate, is not typically associated with fluid volume overload. In fact, fluid overload often leads to tachycardia as the heart tries to compensate for the increased volume. Bradycardia could indicate other cardiac conditions but is not a sign of fluid volume excess.

Choice D reason:

Increased hematocrit is not expected in fluid volume overload. Hematocrit measures the proportion of red blood cells in the blood, and with fluid overload, this proportion is usually diluted, leading to a lower hematocrit level rather than an increased one.

A. renal dysfunction B. pancreatic impairment C. increased gastric motility D. increased blood volume

Correct Answer is A

Explanation

Choice A reason: This is the correct answer. Renal dysfunction is a common concern in older adults and significantly affects the clearance of medications from the body. Impaired kidney function can lead to the accumulation of drugs, increasing the risk of toxicity.

Choice B reason: Pancreatic impairment affects the digestion and absorption of nutrients, but it is not the primary concern related to medication toxicity. The liver and kidneys are more directly involved in drug metabolism and excretion.

Choice C reason: Increased gastric motility is not typically associated with medication toxicity. Slowed gastric emptying is more common in the elderly and can affect drug absorption, but it is not a primary cause of toxicity.

Choice D reason: Increased blood volume is not usually a physiological change in older adults and is not related to medication toxicity. Instead, decreased blood volume and changes in body composition are more typical and can affect drug distribution and metabolism.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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