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."
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Apply cornstarch powder to the perineal area. - Cornstarch powder may increase the risk of infection and should be avoided in the perineal area, especially for clients with fecal incontinence.
B) Place a moisture barrier ointment over the perineal area. - Moisture barrier ointment helps protect the skin from irritation and breakdown caused by fecal incontinence.
C) Turn the client every 4 hr. - Turning the client every 2 hours is recommended for preventing pressure ulcers, but it does not specifically address fecal incontinence.
D) Cleanse the perineal area with povidone-iodine solution. - Povidone-iodine solution is not typically used for routine perineal care and may irritate the skin.
Correct Answer is B
Explanation
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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