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A nurse working on a medical unit is caring for a patient who is placed on seizure precautions. Which of the following interventions should the nurse include in the patient's plan of care?

Keep a padded tongue blade available at the patient's bedside.

Place the patient's bed in the high position.

Keep the lights on when the patient is sleeping.

Obtain IV access.

Answer and Explanation

The Correct Answer is D

A. Incorrect. Never insert anything into a seizing patient's mouth, as it can cause injury.

B. Incorrect. The bed should be in the lowest position to prevent falls.

C. Incorrect. Keeping lights on is unnecessary and can cause sensory overstimulation.

D. Correct. IV access is important in case emergency medications (e.g., lorazepam) are needed during a seizure.

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Correct Answer is D

Explanation

A. Rowing. – Incorrect. Rowing can strain the lower back.

B. Tennis. – Incorrect. Twisting motions in tennis can exacerbate back pain.

C. Canoeing. – Incorrect. Similar to rowing, canoeing may strain the lower back.

D. Swimming. – Correct Answer. Water-based exercises provide low-impact movement and reduce strain on the spine, making swimming the best choice.

A. check all stools for occult blood. B. encourage fluids to 3000 mL/day. C. provide oral hygiene every 2 hours. D. check the temperature every 4 hours.

Correct Answer is A

Explanation

A. Correct. A platelet count <20,000/μL increases bleeding risk. Checking for occult blood helps detect hidden gastrointestinal bleeding.

B. Incorrect. Hydration is important but does not directly address thrombocytopenia management.

C. Incorrect. While oral hygiene is important, frequent brushing could cause bleeding with low platelets.

D. Incorrect. Monitoring temperature is important for infection risk but does not address bleeding concerns.

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A nurse working on a medical unit is caring for a patient who is placed on seizure precautions. Which of the following interventions should the nurse include in the patient's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

An appropriate nursing intervention for a patient with non-Hodgkin's lymphoma whose platelet count drops to 18,000/μL during chemotherapy is to

Correct Answer is A

Explanation

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