A nurse is caring for a client who begins to have a seizure while ambulating in the hall. Identify the

sequence of actions the nurse should follow.

1. Lower the client to floor

2. Place a pad beneath the client’s head

3. Loosen the clothing around the client’s neck

4. Time the length of the client’s seizure

5. Reorient and reassure the client

A nurse is preparing to administer 0800 medications to a client who has an infected wound of the right

great toe. Which of the following prescriptions should the nurse verify with the provider?

- Cefriaxone

A nurse is collecting data from a newly admitted client. Identify the area on the graphic below where the

nurse should palpate for the point of maximal impulse. (select hot spots)

- Image (between the fourth and fifth intercostals spaces)

A nurse is reinforcing teaching with an older client who is being DC and has a new prescription for

hydrochlorothiazide. Which of the following findings should the nurse instruct the client to report to her

provider?

- Onset of nausea

A nurse is caring for a client who has a compound fracture of the femur and was placed in balanced

suspension skeletal traction 4 days ago. Which of the following actions should the nurse take?

- Perform pin site care daily

A nurse is contributing to the plan of care for a client who has Meniere’s disease. Which of the following

interventions should the nurse include in the plan of care?

- Administer an antiemetic to the client

A nurse is reinforcing teaching with the family of a client who has a cervical injury and had a halo vest

applied. Which of the following safety precautions should the nurse include in the teaching?

- Change the sheepskin liner at least weekly

A nurse is assisting with the plan of care for a client who has a head injury and is at risk for ICP. Which of

the following actions should the nurse include in the plan of care?

- Use a turn sheet to reposition the client

A nurse is caring for a client who has a hx of breast cancer. The clients ask the nurse about the use of

birthcontrol. Which of the following methods of b/c is contraindicated for this client?