NUR 514 TOPIC 8 ASSIGNMENT KEY
CONCEPTS AND CLINICAL INSIGHTS GUIDE
2026
◉ The nurse receives a hand-off report from the night shift nurse.
Which client should the nurse assess first? Answer: the client with
seizure activity who recieved lorazepam 20 mins ago
◉ ssess the client with seizure activity first. This client is at
increased risk for Answer: injury, aspiration, and airway obstruction.
◉ ***
The nurse receives a hand-off report from the night shift nurse.
Which client should the nurse assess first? Answer: client with
seizure activity who received Lorazepam 20 minutes ago
◉ The nurse should assess the client with Answer: seizure activity
first
◉ the seizure pt is at increased risk for Answer: injury, aspiration,
and airway obstruction
, ◉ The nurse should obtain Answer: baseline neurological vital signs
(eg, level of consciousness, pupillary reaction, speech, hand grasps)
against which to compare subsequent findings and to evaluate the
client's response to lorazepam
◉ client requires a safe environment so the nurse should Answer:
ensure that fall and seizure precautions (eg, full side rail pads, low
bed, floor mats, suction equipment, oxygen at bedside) have been
initiated.
◉ A serious ABO incompatibility/transfusion reaction typically
occurs within the first Answer: 15 minutes or 50 mL of transfusion
◉ normal hemoglobin level Answer: men 13.5 to 7.5 g/dL
women 12.0 to 15.5 g/dL
◉ Hgb of 7 g/dL (70 g/L) is Answer: not life-threatening and many
clients can tolerate this level
◉ BMB is done Answer: at the bedside and usually does not have
major complications.
◉ A client with seizure activity should be assessed Answer: as soon
as possible after a hand-off report due to increased risk for
recurrent seizures, injury, aspiration, and airway obstruction.
CONCEPTS AND CLINICAL INSIGHTS GUIDE
2026
◉ The nurse receives a hand-off report from the night shift nurse.
Which client should the nurse assess first? Answer: the client with
seizure activity who recieved lorazepam 20 mins ago
◉ ssess the client with seizure activity first. This client is at
increased risk for Answer: injury, aspiration, and airway obstruction.
◉ ***
The nurse receives a hand-off report from the night shift nurse.
Which client should the nurse assess first? Answer: client with
seizure activity who received Lorazepam 20 minutes ago
◉ The nurse should assess the client with Answer: seizure activity
first
◉ the seizure pt is at increased risk for Answer: injury, aspiration,
and airway obstruction
, ◉ The nurse should obtain Answer: baseline neurological vital signs
(eg, level of consciousness, pupillary reaction, speech, hand grasps)
against which to compare subsequent findings and to evaluate the
client's response to lorazepam
◉ client requires a safe environment so the nurse should Answer:
ensure that fall and seizure precautions (eg, full side rail pads, low
bed, floor mats, suction equipment, oxygen at bedside) have been
initiated.
◉ A serious ABO incompatibility/transfusion reaction typically
occurs within the first Answer: 15 minutes or 50 mL of transfusion
◉ normal hemoglobin level Answer: men 13.5 to 7.5 g/dL
women 12.0 to 15.5 g/dL
◉ Hgb of 7 g/dL (70 g/L) is Answer: not life-threatening and many
clients can tolerate this level
◉ BMB is done Answer: at the bedside and usually does not have
major complications.
◉ A client with seizure activity should be assessed Answer: as soon
as possible after a hand-off report due to increased risk for
recurrent seizures, injury, aspiration, and airway obstruction.
