Nokea
A nurse finds a client on the floor of their room experiencing a seizure. Which of the following actions is the nurse's priority?
- A. Place the client on their side with their head forward
- B. Call for help
- C. Protect the client's head
- D. Restrain the client
Correct Answer: A
Rationale: Placing the client on their side with their head forward helps maintain an open airway and prevents aspiration.
You may also like to solve these questions
A nurse is preparing to transfer a client from a chair to the bed. The client can bear partial weight and has upper body strength. Which device should the nurse use?
- A. A wheelchair
- B. A stand-assist lift
- C. A transfer belt
- D. A slide board
Correct Answer: B
Rationale: A stand-assist lift is appropriate for patients who can bear partial weight and have upper body strength.
A nurse in a provider's office is assessing a client who reports a decrease in the effectiveness of their arthritis medication. Which of the following client information should the nurse identify as a contributing factor?
- A. The client has a history of recurring bowel inflammation
- B. The client has recently increased their exercise regimen
- C. The client is taking herbal supplements
- D. The client is experiencing increased stress
Correct Answer: A
Rationale: Recurring bowel inflammation can decrease gastrointestinal motility, affecting the absorption of oral medications.
A nurse enters a client's room and sees smoke coming from the trash can. Which of the following actions should the nurse take first?
- A. Close the window
- B. Evacuate the room
- C. Call the fire department
- D. Attempt to extinguish the fire
Correct Answer: B
Rationale: The first action in a fire situation is to evacuate the room (RACE: Rescue, Alarm, Contain, Extinguish).
A nurse is reviewing the lab report of a client who has been experiencing a fever for the last 3 days. What lab result indicates the client is experiencing fluid volume deficit (FVD)?
- A. Decreased hematocrit
- B. Increased BUN
- C. Increased hematocrit
- D. Decreased urine specific gravity
Correct Answer: C
Rationale: An increased hematocrit level indicates dehydration or fluid volume deficit.
A nurse is caring for a patient who is scheduled for cataract surgery. The client states, "I see just fine and have decided to cancel my surgery." Which of the following responses should the nurse make?
- A. That's not a good idea; the surgery is necessary
- B. Share with me more about the thoughts that are concerning you
- C. You should trust your doctor's advice
- D. You can always reschedule the surgery later
Correct Answer: B
Rationale: Encouraging the client to share their thoughts helps the nurse understand the client's concerns and facilitates a supportive discussion.