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Exhibits

A nurse is caring for a client who has a seizure disorder. (Select all that apply.)

A.

Administer supplemental oxygen to the client.

B.

Restrain the client.

C.

Time the duration of the seizure.

D.

Place a tongue depressor in the client's mouth.

E.

Turn the client to the side

Answer and Explanation

Correct Answer : A,C,E

A.    The client is experiencing apnea and has decreased oxygen saturation, indicating a need for supplemental oxygen.
B.    Restraining a client during a seizure is dangerous and can cause injury.
C.    This information is crucial for determining the type of seizure and guiding treatment.
D.    Placing a tongue depressor in the client's mouth can cause trauma to the teeth and mouth and should never be done.
E.    Turning the client to the side helps prevent aspiration of saliva or vomit, protecting the airway.
 


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Related Questions

Correct Answer is ["5.3"]

Explanation

1 pound = 0.453592 kilograms

28 pounds = 28 * 0.453592 = 12.7 kilograms

Dose = weight in kg * prescribed dose Dose = 12.7 kg * 10 mg/kg = 127 mg

The medication is availableas 120 mg/5 mL. To find the volume for 127 mg:

Volume = (desired dose / concentration) * volume Volume = (127 mg / 120 mg) * 5 mL

Volume ≈ 5.29 mL

Therefore, the nurse should administer approximately 5.3 mL of acetaminophen.

Correct Answer is ["B","C","E","F"]

Explanation

A. "I will look up at the ceiling when I swallow.". The recommended position for swallowing is typically sitting upright with the chin slightly tucked.
B. "I will have to stop watching television while I eat." This indicates an understanding of the importance of focusing on eating and avoiding distractions.
C. "My food will have to be the consistency of pudding." This indicates understanding of the Level 3 dysphagia diet, which requires foods to be moist and easily swallowed.
D. "I can have cream soups on this diet." While cream soups might seem like a good option, they can be too thick for a Level 3 dysphagia diet. The consistency should be more like a thin purée.
E. "I shouldn't drink liquids while I have food in my mouth." This demonstrates understanding of the importance of avoiding choking hazards.
F. "I won't be able to eat nuts anymore." This indicates understanding of the restrictions on hard, crunchy foods on a Level 3 dysphagia diet.

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