NCLEX RN Practice Questions Quizlet - Nurselytic

Questions 78

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions Quizlet Questions

Extract:


Question 1 of 5

What intervention should the nurse implement while a client is having a grand mal seizure?

Correct Answer: B

Rationale: During a grand mal seizure, the client is at risk of injury due to severe, involuntary muscle spasms and contractions. It is crucial for the nurse to avoid restraining the client or inserting objects into their mouth, as these actions may lead to further harm. Placing the client on their side can help facilitate the drainage of oral secretions and assist in maintaining an open airway, reducing the risk of aspiration. Restraint should be avoided as it can exacerbate muscle contractions and increase the risk of injury. Placing pillows around the client may not provide adequate support or protection during the seizure, making it a less effective intervention compared to positioning the client on their side.

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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