Practice Question
The nurse is reviewing the posturing changes that occur with head injuries. Identify the posture that demonstrates decerebrate. A client in the emergency department starts to have seizure like activity. Which action should the nurse take first
Answer Choices:
Correct Answer:
Protect airway
Rationale:
👍 Airway is always the priority per ABCs in seizure response.
👍 During a seizure, jaw clenching or tongue obstruction can compromise breathing.
👍 The nurse should position the client side-lying to allow drainage of secretions.
👍 Documentation and medication come after safety measures.
👍 Delayed airway protection can lead to hypoxia and aspiration.
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This question is from Pharm Quiz_3 which contains 8 questions.
More Questions from This Exam
A client has just arrived in the critical care unit with concerns of increased intracranial pressure. Which changes in vital signs would confirm the development of Cushing's Triad? (Select all that apply).
Answer Choices:
A. Tachycardia
B. Altered respiratory pattern
C. Hypotension
D. Systolic Hypertension
E. Bradycardia
A client presents to the emergency department with burns to the anterior chest/abdomen and anterior left arm. What is the total body surface area (TBSA) burned?
Answer Choices:
A. 27%
B. 22.5%
C. 18%
D. 13.5%
A client presents to the emergency department with burns to the anterior chest/abdomen and anterior left arm. what is the total body surface area (TBSA) burned? The client weighs 165 pounds. According to the Parkland Burn formula, what is the total amount of fluids needed in the first 24 hours?
Answer Choices:
A. 14,850 mL
B. 3,375 mL
C. 8100 mL
D. 6750 mL
A client presents to the emergency department with burns to the anterior chest/abdomen and anterior left arm. what is the total body surface area (TBSA) burned? The client weighs 165 pounds. According to the Parkland Burn formula, what is the total amount of fluids needed in the first 8 hours
Answer Choices:
A. 3375 mL
B. 4,050 mL
C. 4,500 mL
D. 1,687.5 mL
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Pharmacology
- Answer Choices: 4