The nurse is caring for a client who received a diagnosis of a seizure disorder a few minutes ago. Which nursing diagnosis should the nurse add to the client's plan of care?
1. Impaired airway due to seizure activity
2. Impaired physical mobility due to restraints
3. At risk for injury related to loss of muscle tone
4. Knowledge deficit related to anticonvulsive therapy
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4. A client who is diagnosed with a seizure disorder generally lacks sufficient knowledge about anticonvulsant therapy to begin self-care or for the family to begin care; thus, the client and family need teaching before discharge to administer medications at home safely.
1. Impaired airway is a suitable nursing diagnosis for a client having a seizure and experiencing an airway obstruction.
2. Clients with seizure disorders are not restrained during seizures; however, another indication for restraints can develop.
3. Clients are at risk for injury during seizures because of violent muscle contractions.
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Outcomes research in a hospital could address interactions among which of the following general groups of variables? (Select all that apply.)
a. Those that existed prior to treatment, such as narrative health histories b. Those that reflect surroundings, such as the size of family waiting rooms c. Those that reflect perceived outcome, such as quality of life d. Those that pertain to staff, such as levels of education and training e. Those that reflect physical outcome, such as patient survival
The nurse would explain that emergency treatment of a tension pneumothorax requires
a. a small stab wound with a skin blade made into the pleural space. b. covering the chest wall wound with gauze. c. immediate tracheostomy. d. insertion of an 18-gauge needle into the pleural space.
After reporting a nurse with a substance abuse problem to the State Board of Nursing (SBON), the next step that will most likely occur is
a. surrender of license if complaint is found to be valid. b. counseling and then the nurse can return to work. c. the nurse is fired. d. the nurse is prevented from ever working as a nurse again.
The route is the method by which a medication enters the body
Indicate whether the statement is true or false