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NCLEX-RN Mental Health Questions

Extract:


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 which order of priority from first to last?

Order the Items

Source Container

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: The order is: 1) Monitor safety with seizure pads (
A). 2) Page physician and prepare diazepam (
C). 3) Record seizure details (
B). 4) Ask about medical history (
D). Safety and treatment are prioritized, followed by documentation and history.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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