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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Hypothyroidism increases the risk for heart disease. The low thyroid hormone levels can lead to higher levels of cholesterol (especially LDL cholesterol) and increased blood pressure, which are risk factors for cardiovascular disease. Additionally, hypothyroidism can slow down heart rate and decrease the heart's pumping efficiency, further contributing to heart problems.
B. Hypothyroidism does not directly increase the risk of chronic lung disorders. While it can cause respiratory issues such as shortness of breath or decreased exercise tolerance, it is not specifically linked to lung diseases like chronic obstructive pulmonary disease (COPD).
C. While hypothyroidism can cause symptoms such as cognitive impairment, depression, and slowing of neurological functions, it does not directly increase the risk of other neurological disorders.
D. While hypothyroidism can contribute to some kidney dysfunction (like mild hyponatremia), it is not a direct risk factor for renal disease. However, untreated hypothyroidism could lead to worsening kidney function over time.

A. The body attacks the thyroid gland, decreasing the amount of thyroid hormone. B. Graves' disease is caused by inflammation of the thyroid gland. C. Immunoglobulins cause excess in thyroid hormones. D. Graves' disease is most commonly seen in men.

Correct Answer is C

Explanation

A. In Graves' disease, the immune system attacks the thyroid gland, but the result is an overproduction of thyroid hormones (hyperthyroidism), not a decrease.
B. Graves' disease is an autoimmune disorder in which the immune system produces antibodies (known as thyroid-stimulating immunoglobulins) that stimulate the thyroid gland to produce excess thyroid hormones. It is not primarily an inflammatory condition.
C. Immunoglobulins cause excess in thyroid hormones Graves' disease is an autoimmune disorder in which the body produces thyroid-stimulating immunoglobulins (TSIs) that bind to thyroid cells and stimulate the thyroid to produce excess thyroid hormones. This leads to hyperthyroidism.
D. Graves' disease is more commonly seen in women, particularly those between the ages of 20 and 40. Men are less likely to develop this condition.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 is assessing an older adult client with a diagnosis of hypothyroidism. The nurse understands that the client has an increased risk for which of the following?

Correct Answer is A

Explanation

The nurse is caring for a client with Graves' disease. The nurse understands that which of the following statements is true regarding this disorder?

Correct Answer is C

Explanation

The nurse is evaluating a client with diabetes mellitus, type 1 who was taught about self-administration of prescribed insulin. Which of the following actions by the client would indicate that more teaching is needed?

The nurse is caring for a client with late stage Alzheimer's disease. Which of the following behaviors should the nurse expect the client to demonstrate?

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?

The nurse is caring for a client receiving treatment for myxedema. The nurse should explain that warm blankets are used to warm the client instead of heating pads for which of the following reasons?

The nurse is talking to a new nurse about gestational diabetes. Which of the following information should the nurse provide?

The nurse is caring for a client who experiences migraines and reports seeing light flashes. The nurse should recognize this information as which of the following phases of a migraine?

The nurse is completing reconciliation of a client's medications prior to discharge and the list includes an oral antidiabetic drug and glargine [Lantus] insulin. Which of the following new prescriptions causes the nurse concern?

The nurse is caring for a client diagnosed with delirium. Which of the following should be the priority for treatment?