A nurse is reinforcing teaching about seizure management with the family of a client who has a seizure disorder. Which of the following statements by a family member indicates an understanding of the teaching?

"I will gently restrain him during seizures."

"I will loosen his clothing during seizures."

"I will insert a washcloth in his mouth during seizures."

"I will turn him on his back during seizures."

Answer and Explanation

The Correct Answer is B

A.   "I will gently restrain him during seizures."- Restraint during seizures can cause injury and is not recommended.
B.   "I will loosen his clothing during seizures."- Loosening tight clothing helps prevent injury and ensures adequate ventilation during a seizure.
C.   "I will insert a washcloth in his mouth during seizures."- Inserting objects into the mouth during a seizure can cause injury or obstruct the airway.

D.   "I will turn him on his back during seizures."- Placing the client on their back during a seizure can increase the risk of aspiration. The recovery position is preferred

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Correct Answer is C

Explanation

A) "His partner has been visiting." - While social support is important, this information is not essential for the receiving unit's immediate care planning.
B) "He is voiding adequately." - While relevant to the client's overall condition, this information may not be a priority for the receiving unit unless there are specific urinary concerns.
C) "He is allergic to sulfa." - Allergy information is critical for ensuring safe medication administration and should be included in the transfer report.
D) "He appears anxious about the transfer." - While the client's emotional state is important, it may not be the most pertinent information for the receiving unit's immediate care planning.

A. To an employer for a pre-employment screening B. To an insurance agency in regard to a life insurance policy C. To a family member when the client is not available D. To a medical interpreter service on behalf of a client

Correct Answer is D

Explanation

A) To an employer for a pre-employment screening - Health information should not be disclosed to an employer without the client's written consent, as it violates the client's right to privacy and confidentiality.
B) To an insurance agency in regard to a life insurance policy - Health information should not be disclosed to an insurance agency without the client's written consent, as it violates the client's right to privacy and confidentiality.
C) To a family member when the client is not available - Health information should only be disclosed to family members with the client's written consent or in situations where it is necessary for the client's care or safety.
D) To a medical interpreter service on behalf of a client - Health information can be disclosed to a medical interpreter service without the client's written consent to facilitate communication between the client and healthcare providers while maintaining confidentiality.

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A nurse is reinforcing teaching about seizure management with the family of a client who has a seizure disorder. Which of the following statements by a family member indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is transferring a client to another unit. Which of the following statements should the nurse include in the transfer report?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a group of newly licensed nurses regarding client confidentiality. In which of the following situations can the nurse disclose health information without the client's written consent?

Correct Answer is D

Explanation

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