Passpoint Review NCLEX

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Question 1 See full question What is the nurse’s most important intervention for a client having a tonic-clonic seizure? You Selected:  Protect the client from further injury Correct response... :  Protect the client from further injury Explanation: The priority during and after a seizure is to protect the person from injury by keeping them from falling to the floor. Furniture or other objects that be a source of injury during the seizure should be moved out of the client’s way. Timing the seizure, and noting the origin of the seizure are important, but are not the priority. Nothing should be placed in the client’s mouth during a seizure because teeth may be dislodged or the tongue pushed back, further obstructing the airway. [Show More]

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