ANSWERS |2025 UPDATE |WITH COMPLETE
SOLUTION
37. The male client is sitting in the chair and his entire body is rigid with his arms
and
legs contracting and relaxing. The client is not aware of what is going on and is
making guttural sounds. Which action should the nurse implement first?
1. Push aside any furniture.
2. Place the client on his side.
3. Assess the client's vital signs.
4. Ease the client to the floor.
Company. Kindle Edition. - ANS -4. The client should not remain in the
chair during a seizure. He should be
brought safely to the floor so that he
will have room to move the extremities.
38. The occupational health nurse is concerned about preventing occupation-
related
acquired seizures. Which intervention should the nurse implement?
1. Ensure that helmets are worn in appropriate areas.
2. Implement daily exercise programs for the staff.
3. Provide healthy foods in the cafeteria.
4. Encourage employees to wear safety glasses. - ANS -1. Head injury is one of the
main reasons
,for epilepsy that can be prevented
through occupational safety
precautions and highway safety
programs.
39. The client is scheduled for an electroencephalogram (EEG) to help diagnose a
seizure disorder. Which preprocedure teaching should the nurse implement?
1. Tell the client to take any routine antiseizure medication prior to the EEG.
2. Tell the client not to eat anything for eight (8) hours prior to the procedure.
3. Instruct the client to stay awake for 24 hours prior to the EEG.
4. Explain to the client that there will be some discomfort during the procedure. -
ANS -3. The goal is for the client to have a
seizure during the EEG. Sleep deprivation, hyperventilating, or flashing lights
may induce a seizure.
40. The nurse enters the room as the client is beginning to have a tonic-clonic
seizure.
What action should the nurse implement first?
1. Note the first thing the client does in the seizure.
2. Assess the size of the client's pupils.
3. Determine if the client is incontinent of urine or stool.
4. Provide the client with privacy during the seizure. - ANS -1. Noticing the first
thing the client does
during a seizure provides information
and clues as to the location of the
, seizure in the brain. It is important to
document whether the beginning of
the seizure was observed.
41. The client who just had a three (3)-minute seizure has no apparent injuries
and is
oriented to name, place, and time but is very lethargic and just wants to sleep.
Which
intervention should the nurse implement?
1. Perform a complete neurological assessment.
2. Awaken the client every 30 minutes.
3. Turn the client to the side and allow the client to sleep.
4. Interview the client to find out what caused the seizure. - ANS -3. During the
postictal (after-seizure)
phase, the client is very tired and
should be allowed to rest quietly;
placing the client on the side will help
prevent aspiration and maintain a
patent airway.
42. The unlicensed assistive personnel (UAP) is attempting to put an oral airway in
the
mouth of a client having a tonic-clonic seizure. Which action should the primary
nurse take?
1. Help the UAP to insert the oral airway in the mouth.
2. Tell the UAP to stop trying to insert anything in the mouth.