A client with a history of epilepsy is admitted for observation after a seizure. Which precaution should the nurse implement to reduce the risk of injury?

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Question 1 of 5

A client with a history of epilepsy is admitted for observation after a seizure. Which precaution should the nurse implement to reduce the risk of injury?

Correct Answer: C

Rationale: Ensuring suction equipment is available reduces injury risk post-seizure. It manages secretions, preventing aspiration, per safety standards. High bed/rails increase fall risk, tongue blades are outdated, and restraints harm dignity. C prioritizes airway, making it best.

Question 2 of 5

A client receiving chlorpromazine HCL (Thorazine) is in psychiatric home care. During a home visit the nurse observes the client smacking her lips alternately with grinding her teeth. The nurse recognizes this assessment finding as what?

Correct Answer: D

Rationale: Tardive dyskinesia is indicated by lip smacking and teeth grinding in a client on chlorpromazine, a long-term antipsychotic side effect, per psychiatric nursing. Dystonia involves muscle spasms, akathisia is restlessness, and bradykinesia is slowed movement. D requires reporting, potentially adjusting therapy.

Question 3 of 5

The nurse is providing instructions for a client with pneumonia. What is the most important information to convey to the client?

Correct Answer: D

Rationale: Complete all of the antibiotic even if your findings decrease' is most important. It prevents resistance and relapse in pneumonia, per infectious disease guidelines. Rest , X-ray , and temperature matter but completing antibiotics ensures cure, making it the priority instruction.

Question 4 of 5

The nurse is talking by telephone with a parent of a 4 year-old child who has chickenpox. Which of the following demonstrates appropriate teaching by the nurse?

Correct Answer: C

Rationale: Papules, vesicles, and crusts will be present at one time' is correct for chickenpox, per infectious disease teaching. Aspirin risks Reye's syndrome, cortisone isn't standard, and contagion persists post-eruption. C educates accurately on progression.

Question 5 of 5

The nursing care plan for a toddler diagnosed with Kawasaki disease (mucocutaneous lymph node syndrome) should be based on the high risk for development of which problem?

Correct Answer: D

Rationale: Coronary artery aneurysms are the high-risk complication in Kawasaki disease. Vasculitis can weaken coronary arteries, per pediatric cardiology. Plaque , embolism , and occlusions are less specific. D drives monitoring and treatment priorities.

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