Which nursing intervention takes priority for the client having a tonic-clonic seizure?
Inserting a padded tongue blade to prevent the client from biting his tongue.
Maintaining a patent airway
Timing the duration of the seizure
Noting the origin of seizure activity
The Correct Answer is B
A. Inserting a tongue blade is contraindicated as it can cause injury or airway obstruction.
B. Maintaining a patent airway is the highest priority to ensure adequate oxygenation during a seizure.
C. Timing the seizure is important for documentation but secondary to airway management.
D. Noting the origin of seizure activity helps with diagnosis but is not an immediate priority during the seizure.
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Related Questions
Correct Answer is C
Explanation
A. The ulnar nervepasses through Guyon’s canal, not the carpal tunnel.
B. The radial arteryis not involved in the carpal tunnel and is not compressed in CTS.
C. Carpal tunnel syndromeoccurs when the median nerveis compressed within the carpal tunnel, leading to symptoms like pain, tingling, numbness, and weakness, especially in the thumb, index, and middle fingers.
D. The brachial arteryruns higher in the arm and is not affectedby carpal tunnel compression.
Correct Answer is A
Explanation
A. The CPM machine settings should be controlled by healthcare providers or according to prescribed protocols. Patients should not adjust speed or flexion angle independently, as improper settings can cause injury or impede healing.
B. This statement shows humor but does not indicate misunderstanding of CPM use.
C. Finding the motor noise soothing is acceptable and does not indicate a need for further teaching.
D. Allowing the knee to rest at night is appropriate; CPM use is typically during the day or as directed.
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