The nurse is reviewing the history and physical on a client and notes a history of syncope. The nurse would implement which of the following for this client?
1. Soft diet
2. Seizure precautions
3. Fall precautions
4. Intake and output
3
Rationale 1: Syncope is a sudden, brief loss of consciousness, and the nurse would need to provide safety for a client experiencing this condition. Dietary changes may be indicated for problems with chewing or swallowing but not for syncope.
Rationale 2: Syncope is a sudden, brief loss of consciousness, and the nurse would need to provide safety for a client experiencing this condition. Seizure precautions may be indicated for an individual with a seizure-related disorder but not for the presence of syncope.
Rationale 3: Syncope is a sudden, brief loss of consciousness, and the nurse would need to provide safety for a client experiencing this condition.
Rationale 4: Intake and output may be assessed for a variety of conditions but are not directly needed by the client experiencing episodes of syncope.
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