A nurse suspects a client is having a seizure. The priority intervention is to
A) place the client on the side and ensure the airway is patent.
B) determine whether the client has had seizures in the past.
C) bring suction equipment to the bedside.
D) initiate oxygen therapy.
A
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The charge nurse is made aware that a 96-year-old patient does not want to be cared for by African Americans. What does this patient's attitude exemplify?
1. Culture 2. Ethnicity 3. Life trajectory differences 4. Complexity of the Cultural Care triad
For a client who has just undergone cystourethroscopy with biopsy, the nurse should
a. encourage the client to drink fluids to flush the dye from the renal system. b. instruct the client that strict bed rest will be needed after the procedure. c. offer throat lozenges to help with the client's sore throat. d. plan care for a client having general anesthesia.
A patient is admitted after falling down a flight of stairs. The nurse notes that the patient's larynx is slightly left of center
The nurse should assess for which conditions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Right heart failure 2. Left hemothorax 3. Right pneumothorax 4. Right hemothorax 5. Central pneumothorax
A patient diagnosed with cancer of the prostate was admitted after his wife reported he was trying to mix a lethal dose of medications and alcohol to drink. Which patient out-come is a priority to this situation?
a. Patient will participate in all unit activities. b. Patient will recognize that depression is treatable. c. Patient will learn ways to handle his unresolved anger. d. Patient will admit to suicidal thoughts when asked by staff.