Exhibits
A nurse is caring for a client who has a seizure disorder. (Select all that apply.)
Administer supplemental oxygen to the client.
Restrain the client.
Time the duration of the seizure.
Place a tongue depressor in the client's mouth.
Turn the client to the side
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
Volume = Dose / Concentration. The dose required is 35 mg, and the concentration available is 75 mg/mL.
35 mg divided by 75 mg/mL, which equals 0.4667 mL. When rounded to the nearest tenth, this is 0.5 mL.
Therefore, the nurse should administer 0.5 mL of meperidine injection per dose.
Correct Answer is ["A","D","E"]
Explanation
A. Drooling
Drooling can be concerning due to impaired swallowing and risk of aspiration.
D. Hoarse voice
Hoarseness after swallowing can indicate aspiration, which is a serious complication for stroke patients due to difficulty swallowing.
E. Temperature at 1800
A temperature of 39.6°C (103.3°F) is significantly elevated and suggests a potential infection, which is a serious complication after a stroke
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