137) A client with Meningitis is in a coma and Nursing care includes seizure precautions. To help prevent seizure activity, what interventions should the nurse implement?
A. Maintain an oral airway suction equipment a
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137) A client with Meningitis is in a coma and Nursing care includes seizure precautions. To help prevent seizure activity, what interventions should the nurse implement?
A. Maintain an oral airway suction equipment and oxygen at the bedside
B. Provide respiratory isolation precautions for visitors and staff
C. Provide emergency anti convulsant medication at the bedside
D. Maintain a quiet calm darkened environment
Correct Answer: D. Maintain a quiet calm darkened environment
138) The LPN/LVN is assisting a female client to obtain a voided specimen for urine culture. After the client cleanses the meatus, which intervention is performed next?
A. Initiate the urine stream
B. Separate the labia
C. Position the collection cup
D. Observe the urine
Correct Answer: B. Separate the labia
139) A new protocol for fall prevention is being implemented on the medical unit. During safety rounds, the nurse identifies that an unlicensed assistive personnel (UAP) has omitted a vital component of the protocol. After implementing the missing component, what should action should the nurse take?
A. Report the UAP's omission to the charge nurse
B. Complete an unusual occurrence report
C. Supervise the UAP after reviewing the protocol
D. Assign the UAP to more stable clients the next day
Correct Answer: C. Supervise the UAP after reviewing the protocol
140) What is the best intervention for the nurse to implement when providing morning care for an ambulatory client with an indwelling catheter (Foley)?
A. Keep the catheter intact while assisting the client with a shower
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