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) Add 0.5 mL of diluent to the medication. - This action is not appropriate for administering medication from an ampule since the diluent may alter the concentration and dosage of the medication.
B) Inject air into the ampule prior to drawing the medication into a syringe. - Injecting air into the ampule is unnecessary and may cause contamination.
C) Use a filter needle to aspirate the medication. - Filter needles can prevent glass particles from being drawn into the syringe when aspirating medication from an ampule.
D) Cleanse the tip of the ampule with an alcohol swab after opening. – This action is unnecessary and may contaminate the medication.

A. Stand on the client's stronger side when moving the client into the chair. B. Flex hips and knees when assisting the client to a standing position. C. Raise the bed to waist level before moving the client. D. Pivot on the foot farthest from the bed when assisting the client into the chair.

Correct Answer is B

Explanation

A. The nurse should stand on the client’s weaker side (left side) to provide support and stability during the transfer. Standing on the stronger side offers less assistance and increases the risk of falls.
B. When assisting a client with left-sided weakness to transfer from bed to chair, the nurse should use proper body mechanics to protect both the client and self.Flexing the hips and knees allows the nurse to use the leg muscles (strongest muscles) rather than the back, reducing risk of injury. This position also provides stability and balance, allowing controlled movement as the client stands.
C. Raise the bed to waist level before moving the client- Adjusting the bed height can facilitate the transfer process, but it is not directly related to the client's left-sided weakness.
D. Pivot on the foot farthest from the bed when assisting the client into the chair- Pivoting on the foot farthest from the bed allows for a smooth and controlled transfer motion but does not address the client's left-sided weakness specifically.

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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 preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

Correct Answer is C

Explanation

A nurse is assisting in the transfer of a client who has left-sided weakness from a bed to a chair. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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