The nurse is caring for a client who is having an active seizure. Which of the following actions should the nurse take? Select all that apply.

Place the client in the recovery position if possible.

Document the start and stop time of the seizure

Hold arms at the client's side to prevent thrashing or injury.

Remove any dangerous objects near the client.

Assist the client to the floor.

Answer and Explanation

Correct Answer : A,B,D,E

A. Place the client in the recovery position if possible. If the client is not actively seizing, placing them in the recovery position (on their side) can help prevent aspiration and allow for better airway management after the seizure ends. However, during the seizure, ensure their safety first.
B. Document the start and stop time of the seizure. It is important to document the timing of the seizure to help assess its duration and determine the appropriate interventions. This also helps guide treatment decisions post-seizure.
C. Hold arms at the client's side to prevent thrashing or injury. The nurse should not restrain the client during a seizure. Trying to hold the client’s arms or restrict their movements can cause injury. The goal is to ensure safety and prevent injury, but not to restrain them.
D. Remove any dangerous objects near the client. Clearing the area of any hard or sharp objects can prevent injury to the client during the seizure.
E. Assist the client to the floor. If the client is standing or sitting during the onset of the seizure, assist them to the floor gently to prevent injury from falling. Ensure that the area is clear of hazards.

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Correct Answer is B

Explanation

A. Increasing fiber can be beneficial for clients with hypothyroidism, as constipation is a common symptom of this condition. It helps improve bowel movements and overall gastrointestinal function.
B. Hypothyroidism is a lifelong condition, and thyroid replacement therapy is typically needed for life. The client must understand that they cannot stop taking the medication after a set period unless instructed by a healthcare provider.
C. Some medications can interfere with thyroid hormone replacement therapy, so it is important to be cautious and consult a healthcare provider before taking any new medications.
D. Regular monitoring of thyroid hormone levels is important to ensure that the thyroid replacement therapy is at the correct dosage. This helps prevent under- or over-treatment.

A. "You will immediately start thyroid replacement therapy after radioactive iodine treatment." B. "Your partner can feed breast milk to your baby if you pump it." C. "You can try to get pregnant 2 months after the treatment." D. "You need to avoid close contact with others until you the doctor determines you are no longer emitting radiation from your body."

Correct Answer is D

Explanation

A. While many patients who receive radioactive iodine treatment (RAI) for hyperthyroidism may require thyroid replacement therapy afterward, this is not always immediate. The body’s response to the treatment varies, and thyroid function will need to be monitored. The initiation of thyroid replacement therapy depends on the individual's thyroid levels after treatment.
B. Radioactive iodine is contraindicated during breastfeeding because the iodine can pass into the breast milk, potentially exposing the infant to radiation. Mothers are usually advised to stop breastfeeding and to pump and discard milk for a period after the treatment (usually several weeks).
C. The general recommendation is that women should wait at least 6 months after receiving radioactive iodine treatment before trying to become pregnant, as the radiation could potentially affect fetal development during the first few months following the treatment.
D. After receiving radioactive iodine treatment, patients should limit contact with others (especially pregnant women and young children) for a period of time to reduce the risk of radiation exposure to others. This period varies based on the dose of radioactive iodine used, but patients are typically advised to follow specific precautions until their radiation levels have decreased to a safe level.

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The nurse is caring for a client who is having an active seizure. Which of the following actions should the nurse take? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has taught a client with hypothyroidism about thyroid replacement therapy. Which of the following statements by the client would indicate the need for more teaching?

Correct Answer is B

Explanation

The nurse is providing discharge instructions for a female client after receiving radioactive iodine treatment. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

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