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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Allopurinolis primarily used to lower serum uric acid levelsin clients with chronic goutor conditions causing hyperuricemia. It helps preventgout attacks but is not used to treat acute episodes.
B. Rheumatoid arthritis is treated with anti-inflammatory drugs and disease-modifying antirheumatic drugs (DMARDs), not allopurinol.
C. Allopurinol does not have antibacterialproperties and is not indicated for infections.
D. While it helps preventfuture gout attacks, allopurinol is not used to relieve acute attacks—medications like colchicine or NSAIDsare preferred for that purpose.
Correct Answer is A
Explanation
- Convert weight to kilograms:
82 lb ÷ 2.2 = 37.27 kg - Calculate safe dose range:
Minimum dose:10 mg × 37.27 kg = 372.7 mg/day
Maximum dose:12 mg × 37.27 kg = 447.24 mg/day
- Compare with ordered dose:
Ordered dose = 500 mg/day
Safe range = 372.7 mg to 447.24 mg/day
→ 500 mg exceeds the maximum safe dose (447.24 mg)
Final Answer:No, the order is not safe.
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