A nurse on a medical-surgical unit is checking the bowel sounds of a client who has epilepsy.
The client begins to experience a tonic-clonic seizure.
Identify the sequence of steps the nurse should follow.
(Move the steps into the box on the right, placing them in the selected order of performance.
Use all the steps.).

Reorient and reassure the client.

Remain with the client and call for help.

Check the client for injuries.

Place the client in the lateral position.

Answer and Explanation

The Correct Answer is B

Step 1 is B. Remain with the client and call for help. This ensures the client’s safety and gets additional assistance. Step 2 is D. Place the client in the lateral position. This prevents aspiration if the client vomits. Step 3 is C. Check the client for injuries. After the seizure has ended, the nurse should assess for any injuries that may have occurred during the seizure. Step 4 is A. Reorient and reassure the client. After a seizure, the client may be confused and scared. Reorienting and reassuring the client can help them recover. So, the correct sequence is B, D, C,

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Correct Answer is B

Explanation

Choice A rationale:

Fresh fish is not a food that needs to be eliminated from the diet of a client taking an MAOI like selegiline. It does not contain tyramine, which can cause a hypertensive crisis in clients taking MAOIs.

Choice B rationale:

Cheddar cheese is a food high in tyramine and should be eliminated from the diet of a client taking an MAOI. Consuming foods high in tyramine can lead to a hypertensive crisis in these clients.

Choice C rationale:

Cherries are not a food that needs to be eliminated from the diet of a client taking an MAOI. They do not contain tyramine.

Choice D rationale:

Chicken is not a food that needs to be eliminated from the diet of a client taking an MAOI. It does not contain tyramine.

So, the correct answer is B. Cheddar cheese.

Correct Answer is ["2"]

Explanation

Step 1 is: Identify the prescribed dose, which is 150 mg. Step 2 is: Identify the available dose, which is 75 mg per tablet. Step 3 is: Divide the prescribed dose by the available dose. So, 150 mg ÷ 75 mg/tablet. Step 4 is: The result is 2 tablets.

So, the correct answer is 2 tablets.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is modifying the diet of a client who has Parkinson's disease and a prescription for selegiline, a monamine oxidase inhibitor (MAOI). Which of the following foods should the nurse eliminate from the client's diet?.

Correct Answer is B

Explanation

A nurse is preparing to administer amitriptyline 150 mg PO. The amount available is amitriptyline 75 mg/ tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero

Correct Answer is ["2"]

Explanation

A nurse is collecting data from a client who has schizophrenia and recently stopped taking chlorpromazine after 8 years.The nurse notes choreiform movements, lip smacking, and spastic facial distortions.The nurse should document these findings as indicating which of the following conditions?.

A nurse is preparing to administer olanzapine 7.5 mg PO to a client who has schizophrenia. Available is olanzapine 2.5 mg tablets. How many tablets should the nurse plan to administer? (Round to the nearest whole number. Use a leading zero if it applies.)

A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to start taking neostigmine.Which of the following instructions should the nurse include in the teaching?.

A nurse is preparing to administer phenytoin 75 mg PO. Available is phenytoin suspension 25 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen.Which of the following instructions should the nurse include?.

A nurse is preparing to administer amoxicillin 300 mg PO. The amount available is amoxicillin oral solution 250 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies.)

A nurse is reinforcing teaching with a client who has Parkinson's disease. The client tells the nurse that he gets nausea when he takes his prescribed levodopa/carbidopa. Which of the following foods should the nurse recommend the client take with the medication?.