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F2 Final ATI Questions: Neuro 2022

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A nurse enters a client's room and finds him on the floor in the clonic phase of a tonic-clonic seizure. Which of the following actions should the nurse take? A. Insert a padded tongue blade into t ... he client's mouth. B. Place a pillow under the client's head. C. Gently restrain the client's extremities. D. Apply a face mask for oxygen administration. - B. Place a pillow under the client's head. A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following actions should the nurse take? A. Insert a tongue blade in the client's mouth. B. Place the client on his side. C. Hold the client's arms and legs from moving. D. Place the client back in bed. - B. Place the client on his side A nurse in the emergency room is assessing a client who was brought in following a seizure. The nurse suspects the client may have meningococcal meningitis when assessment findings include nuchal rigidity and a petechial rash. After implementing droplet precautions, which of the following actions should the nurse initiate next? A. Complete a vascular assessment. B. Administer an antipyretic. C. Decrease environmental stimuli. D. Assess the cranial nerves. - D. Assess the cranial nerves. A nurse is assessing a client who has meningitis and notes when passively flexing the client's neck there is an involuntary flexion of both legs. Which of the following conditions is the client displaying? A. Kernig's sign B. Nuchal rigidity [Show More]

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