A nurse is providing teaching to a family of a patient who has a new diagnosis of epilepsy. Which of the following instructions should the nurse include in for the family to perform if the patient experiences a seizure?
"Move objects away from the patient."
"Place the patient on their back."
"Restrain the patient."
"Insert a padded tongue blade into the patient's mouth."
The Correct Answer is A
A. Correct. Moving objects prevents injury during a seizure.
B. Incorrect. The patient should be placed on their side to maintain airway patency.
C. Incorrect. Restraining the patient can cause injury.
D. Incorrect. Never insert anything into a seizing patient’s mouth, as it can obstruct the airway or break teeth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Administer antibiotics when available. – Correct Answer. Bacterial meningitis is a medical emergency. The priority is to start IV antibiotics as soon as possible to prevent complications such as sepsis, increased ICP, and neurological damage.
B. Reduce environmental stimuli. – Incorrect. While reducing stimuli helps with photophobia and headache, it is not the priority over immediate antibiotic therapy.
C. Document intake and output. – Incorrect. Monitoring fluid balance is important, but it does not directly treat the infection.
D. Maintain seizure precautions. – Incorrect. Seizure precautions are necessary, but rapid antibiotic administration takes precedence.
Correct Answer is B
Explanation
A. Labeling the mother as "overprotective" is dismissive and non-therapeutic.
B. This response uses therapeutic communication to explore the mother’s concerns without judgment, allowing for education and support.
C. Suggesting home-schooling may reinforce unnecessary restrictions and does not address the concern.
D. Agreeing outright does not help the mother understand that physical activity can be managed safely.
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