To prevent client aspiration during a seizure, the nurse should:
A. Insert an oral airway
B. Restrain the client securely
C. Sit the client in an upright position
D. Turn the client's head to the side
D
D. If possible, turn the client on side, with head flexed slightly forward. Position prevents tongue from blocking airway and promotes drainage of secretions, thus reducing risk of aspiration.
A. Do not force any objects into client's mouth such as fingers, medicine, or tongue depressor, or airway when teeth are clenched. Prevents injury to mouth and prevents possible aspiration.
B. Do not restrain client. Loosen clothing. This prevents musculoskeletal injury and airway obstruction.
C. When seizure begins, position client safely. If standing or sitting, guide client to floor and protect head by cradling in nurse's lap or placing pillow under head. Clear surrounding area of furniture. If client is in bed, raise side rails, pad, and put bed in low position.
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The nurse works in a pediatric unit. In working with a parent who is suspected of Munchausen syndrome by proxy, it is very important for the nurse to:
1. Confront the parent with concerns of possible abuse. 2. Carefully document parent–child interactions. 3. Try to keep the parent separated from the child as much as possible. 4. Explain to the child that the parent is causing the illness, and that the health team will prevent the child from being harmed
An inpatient nurse brings an informed consent form to a client for an operation scheduled for tomorrow. The client asks about possible complications from the operation. What response by the nurse is best?
a. Answer the questions and document that teaching was done. b. Do not have the client sign the consent and call the surgeon. c. Have the client sign the consent, then call the surgeon. d. Remind the client of what teaching the surgeon has done.
Which inotrope is administered to increase stress on the heart for a diagnostic echocardiogram?
A) Dopamine B) Dobutamine C) Epinephrine D) Isoproterenol
An LPN says to an RN, "I don't understand why I get paid less, yet we do the same thing here at work." What role does the RN have in the healthcare setting that the LPN does not?
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