During an interview about the client's health history, when introducing themselves to the client, while collecting the client's vital signs.
A file containing details on a person's health. Information about illnesses, surgeries, vaccines and the outcomes of medical examinations and tests may be included in a person's health history. Information on medications taken as well as health practices like diet and exercise may also be included. A person's immediate family members' health history is included in their family health history (parents, grandparents, children, brothers, and sisters).
This covers both their present and previous ailments. A family's medical history may reveal a trend of particular ailments. also known as medical background. A family health history is a list of the illnesses and ailments that have run in your family. Genes run in your family and yours. You might also have certain traits, like a penchant for working out.
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You are completing the delivery of a near term baby boy when you notice that the fluid expelled with the baby is greenish-brown. At this point you should:
The health care practitioner completing the delivery of a near-term baby boy must perform a suction of the mouth and nose in case the condition of the newborn is depressed.
The primary mode of breathing in newborns is through the nose. In case the nose is congested by the presence of mucus, it must be cleared immediately to prevent obstructed airflow. Mucus accumulation may occur in the mouth which causes spit-up. A bulb syringe is used to suck out the mucus to clear the mouth and nose. In case both the regions require suction, the mouth precedes the nose region. This is done to prevent the newborn from gasping for air.
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please order the following choices to reflect the mechanism and development of an immediate (Type I) allergic reaction
The steps of the mechanism and development of an immediate (Type I) allergic reaction are as follows:
Individual is exposed to as sensitizing dose of allergenCells produce IgE directed against the allergenIgE coats (sensitizes) mast cells and basophilsA provoking exposure to the allergen occurs and mast cells and basophils degranulate releasing histamine and other allergic mediatorsIndividual experiences allergy symptomsWhat is type 1 allergic response?
Type 1 allergic reaction is known as immediate allergic response because it occurs within a short time of exposure to allergen.
It involves immunoglobulin E, IgE.
The steps of the mechanism and development of an immediate (Type I) allergic reaction are as follows:
Individual is exposed to as sensitizing dose of allergenCells produce IgE directed against the allergenIgE coats (sensitizes) mast cells and basophilsA provoking exposure to the allergen occurs and mast cells and basophils degranulate releasing histamine and other allergic mediatorsIndividual experiences allergy symptomsIn conclusion, Type 1 allergic reaction is an immediate allergic response.
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a nurse is assesing a newborn who was born at 29 weeks of gestation. which of the following findings should nurse expect quizlt
Ineffective thermoregulation related to decreased amount of subcutaneous fat
Subcutaneous tissue also regulates body temperature by making sure your internal temperature isn't too high or too low.
What is Ineffective thermoregulation ?ineffective thermoregulation a nursing diagnosis accepted by the North American Nursing Diagnosis Association, defined as a state in which an individual's temperature fluctuates between hypothermia and hyperthermia.
Extremely low-birthweight infants have inefficient thermoregulation due to immaturity—and caregiver procedures such as umbilical line insertions, intubations, and chest x-rays can lead to heat loss as well.As a result, infants may exhibit cold body temperatures after birth and during their first 12 hours of lifeLearn more about Ineffective thermoregulation here:
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Betaxolol hydrochloride eye drops have been prescribed for a client with glaucoma. Which nursing action is most appropriate related to monitoring for side and adverse effects of this medication
Blood pressure monitoring is the most appropriate nursing action to monitor for side effects and adverse effects of this medicine when betaxolol hydrochloride eye drops are provided for a client with glaucoma.
What are Betaxolol hydrochloride eye drops?To treat elevated eye pressure brought on by open-angle glaucoma or a condition known as ocular hypertension, betaxolol eye drops may be administered alone or in combination with other medications.The drug in question is a beta-blocker.Only a prescription from your doctor is required to purchase this medication.Blood pressure monitoringThe medication's side effects and adverse reactions include hypotension, dizziness, nausea, diaphoresis, headache, lethargy, constipation, and diarrhea.Monitoring the blood pressure for hypotension and checking the pulse for strength, weakness, irregular heartbeat, and bradycardia are examples of nursing interventions.For more information about Betaxolol hydrochloride eye drops here
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Mark has type 2 diabetes. For the past two weeks, his fasting blood glucose level has been below 130 mg/dl. Today, Mark's physician tested his blood. Although the fasting value was 125 mg/dl, she reported that he needs to do a better job of controlling his blood glucose level. Why would the physician make such a recommendation to Mark
Mark's HbA1c is 8.5. So the the physician make such a recommendation to Mark.
What is type 2 diabetes?Type 2 diabetes is a problem in the body's capacity to regulate and use sugar (glucose) as fuel.This chronic (long-term) disorder causes the bloodstream to circulate with an excessive amount of sugar. Over time, cardiovascular, neurological, and immune system issues might result from excessive blood sugar levels.Even though not all people with type 2 diabetes are overweight, obesity and a sedentary lifestyle are two of the most typical risk factors.Type 2 diabetes does not have a known treatment. But it is manageable. And occasionally it enters remission. Some people can manage their blood sugar levels by leading a diabetes-friendly lifestyle.Learn more about diabetes here:
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Trends in weighted vital signs and the clinical course of 44,531 acutely ill medical patients while in hospital.
Background: Little is known about the fluctuations and patterns of a patient's specific vital signs while they are experiencing an acute sickness in the hospital.
Methods:
At the Thunder Bay Regional Health Sciences Centre in Thunder Bay, Ontario, Canada, 44,531 severely unwell medical patients were hospitalized. Each vital sign value was assessed, and weighted points from the VitalPAC Early Warning Score (ViEWS) were assigned to each value.These ViEWS weighted vital signs were averaged every 24 hours for the five days following admission and the five days prior to death or discharge. They were then added to get an approximate picture of each vital sign's course while the patient was in the hospital.Results:
In contrast to the other vital signs, the respiratory rate's weighted ViEWS points rise the highest in patients who pass away in hospitals and fall the most in survivors. Combining respiratory rate with any of the other vital signs weighted points decreased rather than improved the performance of their monitoring system.Conclusion:
The strongest predictor of clinical result is trends in respiratory rate, which can be seen at the bedside and weighted according to ViEWS; modest variations might foretell clinical fate many days in advance.
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Background: Little is known about the fluctuations and patterns of a patient's specific vital signs while they are experiencing an acute sickness in the hospital.
Methods:
At the Thunder Bay Regional Health Sciences Centre in Thunder Bay, Ontario, Canada, 44,531 severely unwell medical patients were hospitalized.
Each vital sign value was assessed, and weighted points from the VitalPAC Early Warning Score (ViEWS) were assigned to each value.
These ViEWS weighted vital signs were averaged every 24 hours for the five days following admission and the five days prior to death or discharge.
They were then added to get an approximate picture of each vital sign's course while the patient was in the hospital.
Results:
In contrast to the other vital signs, the respiratory rate's weighted ViEWS points rise the highest in patients who pass away in hospitals and fall the most in survivors.
Combining respiratory rate with any of the other vital signs weighted points decreased rather than improved the performance of their monitoring system.
Conclusion:
The strongest predictor of clinical result is trends in respiratory rate, which can be seen at the bedside and weighted according to ViEWS; modest variations might foretell clinical fate many days in advance.
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During a well child examination of a 2-year-old child, the primary care nurse practitioner palpates a unilateral, smooth, firm abdominal mass that extends to the flank and does not cross the midline. What is the next course of action that
Refer the child to an oncologist immediately.
Who is an oncologist?A physician who treats cancer and offers medical attention to someone who has been diagnosed with cancer is known as an oncologist. A cancer specialist is another name for an oncologist.
Unilateral, smooth, and firm abdominal mass indicates the signs of cancer in the patient. Therefore the child must be referred to an oncologist who is a cancer specialist.
They'll make a cancer diagnosis and suggest potential treatments. The advantages and drawbacks of each choice will be discussed. Additionally, they coordinate your post-treatment care and supervise your treatment.
I understand the question you are looking for is this:
During a well-child examination of a 2yearold child, the primary care pediatric nurse practitioner palpates a unilateral, smooth, firm abdominal mass that does not cross the midline. What is the next course of action?
a. Order a CT scan of the chest, abdomen, and pelvis
b. Perform urinalysis, CBC, and renal function tests
c. Reevaluate the mass in 1 to 2 weeks
d. Refer the child to an oncologist immediately
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The goal of effective communication is to reach a shared meaning or understanding with another person
The aim of powerful communication is to attain a shared meaning, or know-how with another man or woman.
What is the goal of powerful conversation?The reason of powerful communique is to get your specific target market to the desired goal. The aim may be informing them or letting them understand a message, but also to steer or persuade them to take action.
What's a shared that means in conversation?Shared that means is carried out whilst the receiver attaches a comparable meaning to the message that the sender meant to deliver. In other phrases, shared which means occurs when what changed into supposed with the aid of one became further interpreted by way of the other, and what become interpreted by way of one become what changed into intended with the aid of the opposite.
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The target heart rate zone is the range of exercise intensity that allows you to stress your cardiorespiratory system for optimal benefit without ______.
The target heart rate zone is the range of exercise intensity that allows you to stress your cardiorespiratory system for optimal benefit without overloading the system.
The target heart rate of an individual refers to the heartbeat range during exercise and is measured as a percentage. The resting heart rate is calculated by checking the pulse beat for one minute. It normally ranges between 60-100 beats/minute. The target heart rate is 220 subtracted by the age of an individual. For example, the target heart rate for a 27-year-old would be 220-27= 193 beats/minute. Therefore, at a 50% exertion level, the target heart rate must be 50% of the maximum value, that is, 97 beats/minute.
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A client who is confused is found walking outside of the inpatient facility. Which of the following should be the nurse's initial action
The client's chair being equipped with a seat alarm.
What about nurse assess?The client exhibiting signs of a deep venous thrombosis should be evaluated by the nurse initially (DVT).The patient who requires a full body lift to enter the wheelchair because of an above-the-knee amputation Assignments are being made by the charge nurse at a long-term care facility.The patient who requires a full body lift to enter the wheelchair because of an above-the-knee amputation.Assignments are being made by the charge nurse at a long-term care facility.To avoid harm, the charge nurse should first remove the nurse from the unit and transfer the clientele of the nurse to another nurse.The morning laboratory results of a client are being faxed to a provider's office by an AP under the supervision of a nurse.
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When helping a patient deliver her baby in the field, you should coach her to push for ____ seconds, and rest for ____ seconds.
When helping a patient deliver her baby in the field, you should coach her to push for 10 seconds and rest for 10 seconds.
How to take care of a mother during labor?Taking care of pregnant women in labor is a challenging task as the nurses have to work very fast without compromising the quality and accuracy of care.The different stages of labor are First Stage, Latent phase, Active phase, Transitional phase, Second Stage, Third Stage. These stages are marked with uterine contractions, cervical dilations and eventually birth.The patient begins to experience strong contractions around the delivery time. These contractions occur every 2-4 minutes.During this time, instruct the mother to push for 10 seconds and then relax for 10 seconds.This is an exhausting process for the mother.So it is usually encouraged to the mother to push and relax for 10 seconds each for 3 times after which a break is taken.Learn more about stages of labor here:
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Which of the following is a risk factor for developing diabetes? Ethnicity Gender Dehydration Height
According to the research, ethnicity is a risk factor for developing diabetes.
What is diabetes?It is a serious metabolic disorder that is caused by a disorder in insulin, either a deficiency in the amount that generates an excess of glucose in the blood of the affected subject.
Its development can be significantly influenced by both maternal and paternal race/ethnicity and have different rates of complications.
Therefore, we can conclude that according to the research, ethnicity is a risk factor for developing diabetes.
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Transabdominal ultrasound of pregnant uterus, first pregnancy (real time with image documentation), fetal and maternal evaluation, second trimester
The current procedural terminology (CPT) code for transabdominal ultrasound of pregnant uterus, first pregnancy (real time with image documentation), fetal and maternal evaluation, second trimester is 76805.
What is Medical coding?This is the transformation of treatment, services etc into numeric and alphanumeric codes.
This reduces prevent ambiguity as in this case where several methods for cervical screening during pregnancy are mentioned but represented with a single code which is 76805.
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What program is available to support c-snp and d-snp members who may have unique health care needs?.
A nurse is changing the dressing of a patient with a central venous access device who is receiving total parenteral nutrition. After cleansing the site with chlorhexidine, which action would the nurse do next
After chlorhexidine, she should put on sterile gloves and clean the dried blood using a sterile antimicrobial wipe in a circular motion beginning at the insertion site and working outward.
A patient receiving complete parenteral nourishment and equipped with a central venous access device is having his or her dressing changed by a nurse. The nurse should put on sterile gloves and clean the dried blood using a sterile antimicrobial wipe in a circular motion starting at the insertion site and working outward after cleaning the area with chlorhexidine.
Gingivitis is treated with chlorhexidine. It aids in reducing gum bleeding as well as gum swelling and inflammation (redness). The bacteria that develop in the film (plaque) that builds up on your teeth between brushings is what causes gingivitis.
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A nurse manager is teaching the staff about professional negligence and malpractice. Which criteria that establishes malpractice will the nurse include
That duty was breached.
Duty of care was owed to the patient.
Specifically, nursing malpractice or negligence refers to a nurse failing to adequately complete his or her tasks, ultimately resulting in harm to the patient.
What are Malpractices and professional negligence ?A nurse's errors that are considered malpractice include administering the wrong medication, giving the wrong dosage, or giving the medication too early or too late.
A negligence claim may be in connection to variety of circumstances, including incorrect or delayed diagnosis, medication errors or administering the wrong treatment.Anyone suing a health care provider, including a nurse, for malpractice must prove four elements in order to prevail: duty, breach, causation, and harm.Learn more about Malpractices here:
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When considering exercise order, what should be a priority before completing accessory exercises? Compound exercises A cooldown Balance training Isolation exercises
When considering exercise order, what should be a priority before completing accessory exercises is compound exercises. Option A. This is further explained below.
What is exercise order?Generally, Large muscle groups or workouts involving several joints are often done before activities involving just a single joint or a small muscle group.
In conclusion, In this case, the answer is obvious. Once you've selected your workouts, you'll want to arrange them in the best possible sequence. Prioritizing high-intensity compound exercises above other workouts is a common practice.
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The form of malnutrition in which children are of an appropriate height for their age but thinner than they should be is termed
Wasted
Low weight-for-height is known as wasting. It usually indicates recent and severe weight loss, because a person has not had enough food to eat and/or they have had an infectious disease, such as diarrhoea, which has caused them to lose weight.
What is Malnutrition ?Malnutrition is a serious condition that happens when your diet does not contain the right amount of nutrients
Low weight-for-height is known as wastingLow height-for-age is known as stunting.Children with low weight-for-age are known as underweightOverweight and obesity is when a person is too heavy for his or her height.Learn more about Malnutrition here:
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A nurse is reviewing the medication administration records from the previous shift. Which of the following should indicate the need for an incident/variance report
The option that indicate the need for an incident/variance report is d. An extended release capsule is mixed with applesauce.
What is incident/variance report?The Variance Reporting Tool is known to be a mechanism that is often used in a unit-based clinical outcome report and it is one where there is need or its used to record the differences that is said to exist between what is known to be affected within the occurrence of illness and that which was said to be achieved.
Note that the aim of this reporting is made to be able to give the health care facility and the health care professionals the ability to be able to look into the problem and hinder the happenings of future incidents, events, irregular occurrences, and others.
Hence, based on the above, The option that indicate the need for an incident/variance report is d. An extended release capsule is mixed with applesauce.
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See full question below
A nurse is reviewing the medication administration records from the previous shift. Which of the following should indicate the need for an incident/variance report
A. An aminoglycoside IV antibiotic is administered over 1 hour
b. An ear drop administration is secured with a cotton ball to the outer ear for 5 min
c. An IM medication is injected to the vastus lateralis site of an adult
d. An extended release capsule is mixed with applesauce
According to the 2015-2020 Dietary Guidelines for Americans, ______ is a nutrient of public health concern.
According to the 2015-2020 Dietary Guidelines for Americans, fiber is a nutrient of public health concern.
What is dietary fiber?Dietary fiber is a type of nutrient that is responsible for the normal functioning of the digestive system.
The dietary fiber is able to absorb waste products from foods to be excreted for the digestive system.
In conclusion, according to Dietary Guidelines, fiber is a nutrient of public health concern.
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for patients post-acl reconstructive surgery, is rehabilitation with dry needling effective in comparison to standard rehabilitation in increasing rom
Knee's stability and functionality can typically be recovered with a successful ACL restoration and targeted physical therapy.
What about ACL surgery?Anterior cruciate ligament reconstruction involves replacing the knee's anterior cruciate ligament with tissue grafts through surgery in order to recover function after an injury. Before reconstructing the knee using an arthroscopic treatment, the torn ligament can be either removed from the knee or maintained.Anterior cruciate ligament (ACL) reconstruction surgery is performed to replace a torn ACL, a significant knee ligament. Sports with abrupt pauses and changes in direction, such soccer, football, basketball, and volleyball, are the ones where ACL injuries most frequently happen.Most ACL reconstruction surgeries are completed in under two hours.It will be informed by your doctor how long the procedure will take. The time required for the full surgical procedure might depend on a number of factors, including: the kind of graft you're getting: an allograft or an autograft.Learn more about ACL reconstructive here:
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The thermic effect of food (tef) is generally equivalent to __________ of the energy content of food ingested.
Generally speaking, the thermic effect of food (TEF) is equal to 10% of the energy content of the food consumed. However, the actual figure will vary on a variety of variables, including age, the timing of the meals, and the macronutrient makeup of the meal (carbs, fat, and protein).
The body uses some of the calories it consumes to digest, absorb, metabolise, and store the food it does not utilise right away, and it also burns some calories as heat. There are other names for this process, including the thermic effect of food (TEF), particular dynamic action, and diet-induced thermogenesis (DIT).
Although the thermic effect of food (TEF), defined as the rise in metabolic rate following the consumption of a meal, has been thoroughly investigated, its significance in controlling body weight is debatable.
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which position is suitable for administering intramuscular medications in the ventrogluteal muscle site
Supine or lateral position is suitable for administering intramuscular medications in the ventrogluteal muscle site
Intramuscular injections :
Intramuscular (IM) injections administered medications into the muscle fascia, which has a rigorous blood supply, allowing medications to be absorbed faster through muscle fibres than through the subcutaneous route.
The ventrogluteal, vastus lateralis, and deltoid site are intramuscular injection sites. The ventrogluteal IM site is recommended whenever possible and is suitable for greasy and irritant medicines, according to sufficient data.
In comparison to other locations, the ventrogluteal site has the most muscle thickness and is devoid of blood vessels and nerves. To enter deep muscle tissue, a longer needle with a larger gauge is needed. The needle is inserted at, or as close to, a 90-degree angle perpendicular to the patient's body as is reasonably possible.
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Which type of diet is discouraged because it is based on gimmicks that rarely lead to lasting weight loss or help retrain eating and exercise habits
A fad diet is discouraged because it is based on gimmicks that rarely lead to lasting weight loss or help retrain eating and exercise habits.
What is a Fad diet?These diet is sold as the fastest and reliable way to lose weight which isn't the case as it rarely lead to lasting weight loss.
It also doesn't have any standard dietary recommendation hence the reason why it is discouraged.
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The nurse caring for a 75-year-old man who has developed diabetes insipidus following a head injury will include in the plan of care provisions for:
The nurse caring for a 75-year-old man who has developed diabetes insipidus following a head injury will include in the plan of care provisions for: protecting patient from injury.
How should nurse administer insulin to prevent Lipohypertrophy?
Rotating the injection site is important to prevent lipohypertrophy or lipoatrophy. Rotating within one area is recommended (e.g., rotating injections systematically around the abdomen) rather than rotating from one area to another with each injection (e.g., from abdomen to thigh to arm).When administering insulin to a patient what must the nurse do first?
Before administering the insulin, wash your hands, put on gloves, and clean the injection site with an alcohol swab. Now you're ready to inject the insulin, choosing between two injection techniques: inserting the needle into the skin at a 90-degree or at a 45-degree angle.Learn more about insulin
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After the birth of the newborn, the mother is ready to be discharged home. The client's mother is present and will remain with her for 1 month. The client's mother tells the nurse that her daughter will not be allowed to leave the house for the first month after the birth, based on the family's cultural customs. How should the nurse respond to this statement
The client's mother tells the nurse that her daughter will not be allowed to leave the house for the first month after the birth, based on the family's cultural customs. The nurse should respond to this statement by Accepting the mother's statement and do discharge teaching accordingly.
After the birth of the newborn, the mother is ready to be discharged home. Nurse will do the discharge teaching as follows:
Shower as often as you like, but avoid taking a bath or swimming until after your postpartum visit. Nothing should be placed in the vagina until the postpartum examination. This means no tampons, showering or intercourse (sex). Make a follow-up appointment about six weeks after the birth.
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Which medication will be prescribed for a patient complaining of muscle spasms resulting from a back injury
Answer: A muscle relaxant such as diazepam is occasionally prescribed for a few days if the back muscles become very tense and make the pain worse. Diazepam is one of a group of medicines called benzodiazepines which can be habit-forming and should be taken for as short a period of time as possible.
Explanation:
What is a correct approach for aed pad placement?
Answer:
Place one pad on the right side of the chest, just below the collarbone. Place the other pad on the lower left side of the chest. Connect the pads to the AED. Some pads come pre-connected to the AED.
Kids of abusive parents often display ________ attachment, and may run away from their parents in the Strange Situation experiment.
Answer: disorganized attachment
Explanation:
- disorganized attachment is rooted in unpredictable and inconsistent behavior from caregivers during a child's formative years
- this is an insecure style of attachment that develops when kids are raised in an environment that elicits fear, often involving abuse or a lack of reliability
signs of disorganized attachment in children can include:
- attention seeking
- avoidant
- inability to communicate needs
- lack of self-soothing skills
- hyper-focusing
- push-pull dynamic with caregivers
- confusion and ambivalence
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A client is sitting in a chair and begins having a tonic-clonic seizure. The most appropriate nursing response is to
Explanation:
Do not put anything in their mouth and turn them on the left side of the chair then clear anything around them that could hurt them and always stay calm
Hope this helps you
The most appropriate response of the nurse on a client having tonic-clonic seizure would be to carefully move the client to a flat surface and turn him on his side.
why should the nurse do this for tonic-clonic seizure ?
When giving care for a patient experiencing a tonic-clonic seizure, the nurse should assist the patient to a level, flat surface before placing him on his side to prevent aspiration and protect him from harm. By adopting these measures, you can reduce your chance of falling or running into nearby items even while opening up your airway. During the seizure, the client shouldn't be restrained.
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