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. Platelets 110,000 mm³ – Correct Answer. A low platelet count (thrombocytopenia) increases the risk of bruising and bleeding. Normal platelet range is 150,000–400,000 mm³.
B. WBC 8,000 mm³ – Normal white blood cell count; does not explain increased bruising.
C. Hemoglobin 13.0 g/dL – Normal hemoglobin level; not related to bruising.
D. RBC 4.6 million/mm³ – Normal RBC count; does not indicate a bleeding risk.
Correct Answer is C
Explanation
A. Inserting an indwelling urinary catheter – Incorrect. While catheterization may be necessary, it is not the highest priority for an unconscious patient.
B. Putting a nasogastric (NG) tube in place – Incorrect. NG tube placement can be useful for feeding or decompressing the stomach, but airway management takes precedence.
C. Maintaining a patent airway – Correct Answer. Airway patency is the top priority in an unconscious patient to prevent aspiration, hypoxia, or respiratory failure.
D. Administering an enema daily – Incorrect. This is not a priority in unconscious patients.
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