Which nursing action would be appropriate to protect a patient during a seizure? (Select all that apply)

Placing a pad under the patient's head after guiding them to the floor from a standing position

Avoiding placing any objects in the mouth when the patient's teeth are clenched

Guiding the patient to the bed from the floor during a seizure

Turning the patient to one side, having a slightly forward-tilted head

Using supporting pillows for the patient who is on bed

Answer and Explanation

Correct Answer : A,B,D,E

A. Placing a pad under the patient's head after guiding them to the floor from a standing position: This helps to protect the head from injury if the patient falls. However, guiding the patient to the floor should only be done if it is safe and possible to do so without causing further injury.
B. Avoiding placing any objects in the mouth when the patient's teeth are clenched: This prevents the risk of choking or damaging the patient's teeth. It is a common safety measure during seizures.
C. Guiding the patient to the bed from the floor during a seizure: This action is not appropriate during the seizure itself as it may cause injury or disrupt the patient's movement. Instead, the patient should remain in a safe position until the seizure ends.
D. Turning the patient to one side, having a slightly forward-tilted head: This helps to prevent aspiration and facilitates easier breathing during and after the seizure.
E. Using supporting pillows for the patient who is on bed: This helps to protect the patient from injury and provides support, ensuring safety during and after the seizure.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Use soap and water to clean the client's perineum: Correct. Using soap and water is the standard method for cleaning the perineum to ensure it is effectively cleaned while maintaining hygiene.
B. Use the same section of washcloth for each area cleaned: Incorrect. To prevent cross-contamination, the nurse should use a clean section of the washcloth or a new washcloth for each area cleaned.
C. Allow the client's perineum to air dry: Incorrect. The perineum should be gently patted dry with a clean towel to prevent irritation and ensure proper drying.
D. Start at the client's rectum and clean to the client's perineum: Incorrect. The proper technique is to clean from the perineum to the rectum to prevent the spread of bacteria from the rectal area to the vaginal area.

A. Review the steps for checking a radial pulse with the client B. Observe the client checking their radial pulse C. Tell the client the expected reference range of their radial pulse D. Discuss the purpose of checking the radial pulse with the client

Correct Answer is B

Explanation

A. Review the steps for checking a radial pulse with the client: This method involves cognitive learning, as it focuses on understanding and recalling information rather than performing a physical skill.
B. Observe the client checking their radial pulse: This method involves the psychomotor domain because it focuses on the client's ability to perform the physical task of checking their pulse. The nurse can assess the client’s skill in action.
C. Tell the client the expected reference range of their radial pulse: This approach falls under cognitive learning, focusing on providing factual information rather than hands-on practice.
D. Discuss the purpose of checking the radial pulse with the client: This is also a cognitive learning method, as it involves understanding the reasons behind the procedure rather than the physical execution of it.

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Which nursing action would be appropriate to protect a patient during a seizure? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to perform perineal care for a female client. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

A nurse is teaching a client how to check their radial pulse. Which of the following methods uses the psychomotor domain of learning?

Correct Answer is B

Explanation

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Which nursing action would be appropriate to protect a patient during a seizure? (Select all that apply)

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