Á nurse is teaching the family of a client who has a new diagnosis of epilepsy about actions to take if the client experiences a seizure. Which of the following instructions should the nurse include in the teaching?
"Move objects away from the client."
"Place the client on his back."
"Insert a padded tongue blade into the client's mouth."
"Restrain the client."
The Correct Answer is A
A. Moving objects away prevents injury during the seizure and is a critical safety measure.
B. Placing the client on their side, rather than on their back, helps maintain an open airway and prevents aspiration.
C. Inserting anything into the client's mouth, including a padded tongue blade, is not recommended as it may cause injury.
D. Restraining the client could result in injury and is not advised.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Obtaining a dietary history is relevant for ongoing management but is not the initial priority.
B. Reviewing electrolyte values is essential because exacerbations of ulcerative colitis can lead to severe fluid and electrolyte imbalances, which need prompt correction.
C. Investigating emotional concerns is important but does not take precedence over addressing potential electrolyte imbalances that can be life-threatening.
D. Checking perianal skin integrity is relevant for comfort but is not the priority in stabilizing the client during an acute exacerbation.
Correct Answer is C
Explanation
A. A 30° angle is too low and may increase the risk of aspiration; a 90° sitting position is preferred for safe swallowing.
B. Coughing while swallowing is not recommended as it may increase the risk of choking.
C. Tilting the head forward while swallowing helps to close the airway and reduce the risk of aspiration, which is crucial in dysphagia management.
D. Food should be placed on the stronger side to improve control and reduce aspiration risk.
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