Question 1 See full question
What is the nurse’s most important intervention for a client having a tonic-clonic seizure?
You Selected:
Protect the client from further injury
Correct response:
Protect the client
...
Question 1 See full question
What is the nurse’s most important intervention for a client having a tonic-clonic seizure?
You Selected:
Protect the client from further injury
Correct response:
Protect the client from further injury
Explanation:
The priority during and after a seizure is to protect the person from injury by keeping them from falling
to the floor. Furniture or other objects that be a source of injury during the seizure should be moved out
of the client’s way. Timing the seizure, and noting the origin of the seizure are important, but are not the
priority. Nothing should be placed in the client’s mouth during a seizure because teeth may be dislodged
or the tongue pushed back, further obstructing the airway.
Remediation:
Seizure management
Question 2 See full question
The nurse is caring for a neonate weighing 4,536 g (10 lb) who was born via cesarean section 1 hour ago
to a mother with insulin-dependent diabetes. She asks the nurse, “Why is my baby in the neonatal
intensive care unit?” The nurse bases a response on the understanding that neonates of mothers with
diabetes commonly develop which condition?
You Selected:
hypoglycemia
Correct response:
hypoglycemia
Explanation:
Hypoglycemia is caused by the rapid depletion of glucose stores. In addition, neonates born to class
women with insulin dependent diabetes are about seven times more likely to suffer from respiratory
distress syndrome than neonates born to nondiabetic women. This neonate should be closely monitored
for symptoms of hypoglycemia and respiratory distress. Neonates of diabetic mothers commonly have
polycythemia, not anemia. Anemia and hemolytic disease are associated with erythroblastosis fetalis.
Persistent pulmonary hypertension is associated with meconium aspiration syndrome.
Remediation:
Glucose management, neonatal
Question 3 See full question
[Show More]