world NCLEX exam review Questions with
complete solutions.
Qs
The nurse is instituting seizure precautions for a client who is being admitted from the
emergency department. Which measures should the nurse include in planning for the
client's safety? Select all that apply.
1. Padding the side rails of the bed.
2. Placing an airway at the bedside.
3. Placing the bed in the high position
4. Putting a padded tongue blade at the head of the bed
5. Placing oxygen and suction equipment at the bedside
6. Flushing the intravenous catheter to ensure that the site is patent. - n
Ans✔✔
1, 2, 5, 6
Seizure precautions may vary from agency to agency, but they generally have some
common features. Usually, an airway, oxygen, and suctioning equipment are kept
available at the bedside. The side rails of the bed are padded, and the bed is kept in the
lowest position. The client has an intravenous access in place to have a readily accessible
route if antiseizure medications must be administered, and as part of the routine
assessment the nurse should be checking the patency of the catheter. The use of padded
tongue blades is highly controversial, and they should not be kept at the bedside. Forcing
a tongue blade into the mouth during a seizure more likely will harm the client who bites
down during seizure activity. Risks include blocking the airway from improper placement,
chipping the client's teeth, and subsequent risk of aspirating tooth fragments. If the client
has an aura before the seizure, it may give
Qs
The nurse is caring for a client who has undergone a craniotomy and has a supratentorial
incision. The nurse should place the client in which position postoperatively?
