What should the nurse do during the active seizure phase of a client with epilepsy?

Correct Answer: D

Rationale: The correct answer is D. Placing the client on their side during an active seizure helps prevent aspiration in case of vomiting and ensures the airway remains clear. Removing dangerous objects and protecting the head also reduce the risk of injury. Holding down the client's arms (choice C) can lead to injury or restraint, while placing the client on their back (choices A and C) can increase the risk of aspiration. Therefore, choice D is the best option for promoting safety and minimizing harm during a seizure.

Correct Answer: A

Rationale: The correct answer is A: Manager. When a nurse assumes a position of authority within a formal organization, they are responsible for overseeing operations, resources, and staff to achieve organizational goals. As a manager, the nurse will be involved in decision-making, planning, organizing, and controlling activities within the organization. This role requires skills in delegation, problem-solving, and communication to effectively lead the team. Incorrect choices: B: Advocate - While advocacy is an important aspect of nursing, assuming a position of authority typically involves broader responsibilities beyond advocacy. C: Leader - Leadership qualities are essential for a nurse in a managerial position, but leadership alone does not encompass all the responsibilities of a manager. D: Teacher - Although teaching may be part of a nurse's role, assuming a position of authority within a formal organization usually entails managerial duties rather than solely focusing on teaching responsibilities.

Correct Answer: B

Rationale: The correct answer is B: Down and back. Pulling the external ear down and back in a 5-year-old child straightens the ear canal, allowing for better visualization during otoscope inspection. This technique also helps prevent injury to the ear canal and eardrum. Pulling the ear up and front (choice A) can cause the ear canal to close off, obstructing the view. Pulling the ear down and front (choice C) may not provide adequate visualization and can also lead to injury. Pulling the ear up and back (choice D) can cause the ear canal to fold, making it difficult to see inside.

Correct Answer: B

Rationale: The correct answer is B: Sterile normal saline. Before administering intravenous medication through a medication lock, the nurse should first instill sterile normal saline to ensure patency of the line and prevent clot formation. Normal saline is isotonic and compatible with most medications, helping to maintain hydration and prevent damage to the vein. Sterile bacteriostatic water (choice A) is not appropriate for this purpose. Sterile isopropyl alcohol (choice C) is used for skin preparation, not line maintenance. Sterile hydrogen peroxide (choice D) is too harsh and can cause tissue damage.

Correct Answer: B

Rationale: The correct answer is B: "I am allergic to eggs." This response is the most important cue because some blood products are derived from human plasma, which may contain traces of egg proteins. This can trigger an allergic reaction in individuals with egg allergies. Choice A is not directly relevant to the procedure. Choice C, while indicating some understanding, does not address potential complications related to allergies. Choice D is incorrect as the client's allergy status is crucial for a safe transfusion process.