Question

A nurse is implementing seizure precautions for a client who has a seizure disorder the client's bedside? (Select all that apply.) ✓ Supplemental oxygen supplies T Limb restraints Oral airway Blood glucose monitor Oral suction equipment

Answer 1

1. A nurse is implementing seizure precaution for client, who has a seizure disorder, The nurse should check

Supplemental oxygen supply (Because oxygen level drops in the body after seizure so, patients needs oxygen )

Blood glucose monitor (Hypoglycemia may be induced seizure)

Suction equipment (Post seizure suction is necessary to prevent aspiration)

Answer - Supplemental oxygen supply, Blood glucose monitor, Suction equipment

2. A nurse assessing a client who has diabetes Mellitus prior to performing a blood glucose test.

Shakiness and thirst indicate the cline has Hyperglycemia.

Thirst is due to excess urination in Hyperglycemia and Shakiness is due to increase ketones in the blood.

Answer - Shakiness and thirst

3. The nurse is planning care for a female client, Who has an indwelling urinary catheter. Then the Nurse should Empty the urinary bag when it's three-quarters full to avoid overflow, and Keep the drainage bag below the level of the bladder to avoid backflow.

Answer - Empty the urinary bag when it's three-quarters full, Keep the drainage bag below the level of the bladder

4. A nurse is planning discharge of Diabetic client, he has a new prescription of insulin.

Then Nurse should make a copy of medication reconciliation form for the client to avoid medication error and its adverse effects.

Answer - Nurse should make a copy of medication reconciliation form for the client

5. Order dose Gentamycin 2mg/kg/IV

Patients weights 220lb (99.79 kg)

Nurse should administer

2mg/kg x 99.7kg = 199.58mg

Answer - A nurse should administer 200mg