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    Ati Fundamentals 2023 Proctored Exam

    A nurse is caring for a client. Exhibits Complete the following sentence by using the lists of options. At 1000, the nurse enters the client's room. The first action the nurse should take is to dropdown followed by dropdown

    Explanation & Rationale

    Rationale for Correct Choices Turn the client to the side: During a seizure, turning the client to the side helps maintain a patent airway, prevents aspiration of saliva or vomitus, and facilitates drainage. This is the first priority action to ensure immediate safety and airway protection. Administer supplemental oxygen: Generalized tonic-clonic seizures impair normal breathing and muscle contractions limit chest expansion, often leading to a period of apnea or decreased oxygenation. Once the airway is protected by turning the client to the side, the nurse should administer oxygen to treat the potential hypoxia. Rationale for Incorrect Choices Place a tongue depressor to the client’s mouth: Placing objects in the mouth during a seizure is dangerous and can cause dental injury or airway obstruction. This action should never be performed. Restrain the client: Restraining a client during a seizure can cause injury to both the client and the nurse. Safety is ensured by protecting the client from injury and clearing the surrounding area, not by restraining movements.

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