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NCLEX RN Mental Health Questions Questions

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Question 1 of 5

A client is brought to the emergency department (ED) by a friend who states that the client recently ran out of his phenytoin (Dilantin) and has been having a grand mal seizure for the last 10 minutes. The nurse observes that the client is still seizing. The nurse should do the following in order of priority from first to last?

Order the Items

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Monitor the client's safety and place seizure pads on the cart rails.
Record the time, duration and nature of the seizures.
Page the ED physician and prepare to give diazepam (Valium) intravenously.
Ask the friend about the client's medical history and current medications.

Correct Answer: A,C,B,D

Rationale: First ensure safety with seizure pads, then prepare diazepam, record seizure details, and gather history.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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