In providing care to a client immediately following a tonic-clonic seizure, which activity is best for the practical nurse (PN) to assign to the unlicensed assistive personnel (UAP) working with the PN?

Perform neurologic checks.

Perform oral suctioning.

Place client in a recovery lateral position.

Report the seizure to healthcare provider.

Answer and Explanation

The Correct Answer is C

A. Perform neurologic checks: Neurologic assessments require clinical judgment and interpretation of findings, which are responsibilities of licensed nursing personnel. The UAP cannot independently perform these assessments.

B. Perform oral suctioning: Suctioning is a skilled, potentially invasive procedure requiring assessment of airway patency and client response. It must be performed by licensed staff, not delegated to the UAP.

C. Place client in a recovery lateral position: Positioning the client on their side after a seizure is a safe, non-invasive intervention that helps maintain airway patency and prevent aspiration. This task can be appropriately delegated to the UAP under the PN’s supervision.

D. Report the seizure to healthcare provider: Communication with the provider involves clinical judgment and interpretation of the event. The PN is responsible for reporting detailed clinical information and cannot delegate this task to the UAP.

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Correct Answer is D

Explanation

A. Memory loss: Cushing’s syndrome primarily affects mood and physical appearance due to excess cortisol levels but does not commonly cause memory loss. Cognitive changes can occur but are less prominent than emotional and behavioral disturbances.

B. Hearing loss: There is no direct link between Cushing’s syndrome and auditory function. Hearing loss is unrelated to cortisol imbalance and would not explain the client’s sudden irritability or emotional outburst.

C. Impaired cognition: While some clients may experience mild concentration difficulties, the primary neuropsychiatric effect of Cushing’s syndrome involves emotional instability rather than significant cognitive impairment.

D. Mood alterations: Excess cortisol levels disrupt neurotransmitter balance, leading to mood swings, irritability, anxiety, and even depression. The client’s angry outburst toward family reflects these mood alterations, a well-known psychological manifestation of Cushing’s syndrome.

A. History of diabetes mellitus. B. Hyperlipidemia. C. Leads an aerobics class. D. Increase in age. E. Body mass index of 22.

Correct Answer is ["A","B","D"]

Explanation

A. History of diabetes mellitus: Diabetes contributes to vascular damage and decreased arterial elasticity, which can elevate blood pressure over time. Poor glucose control increases atherosclerotic risk, making hypertension more likely in older adults.

B. Hyperlipidemia: Elevated lipid levels promote plaque formation within arterial walls, reducing vessel flexibility and increasing systemic vascular resistance. This process contributes to the gradual development of hypertension.

C. Leads an aerobics class: Regular aerobic exercise typically improves cardiovascular health by lowering blood pressure and enhancing vessel elasticity. This lifestyle factor would more likely protect against hypertension rather than cause it.

D. Increase in age: Aging naturally causes vascular stiffening and decreased arterial compliance, leading to higher systolic blood pressure. This physiological change is a major risk factor for developing hypertension in older adults.

E. Body mass index of 22: A BMI within the normal range (18.5–24.9) indicates a healthy weight, which generally supports normal blood pressure. Obesity, not a normal BMI, is a key contributor to hypertension.

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In providing care to a client immediately following a tonic-clonic seizure, which activity is best for the practical nurse (PN) to assign to the unlicensed assistive personnel (UAP) working with the PN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) overhears a female client with Cushing's syndrome tell her family in a very loud and angry voice to leave her room and not to come back. The response by the PN is based on recognizing which common manifestation of the syndrome?

Correct Answer is D

Explanation

Correct Answer is ["A","B","D"]

Explanation

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