Your patient has a history of epilepsy. While helping the patient to the restroom, the patient reports having this feeling of déjà vu and seeing spots in their visual field. Your next nursing action is to? aContinue assisting the patient to the restroom and let them sit down. bInitiate the emergency response system. cLay the patient down on their side with a pillow underneath the head. dAssess the patient’s medication history.

A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take first?A. Clear items from the client's surrounding area.B. Lower the client to the floor.C. Obtain the client's vital signs.D. Loosen the client's restrictive clothing.

An 83-year-old man is transferred to the hospital from his nursing home due to hypotension and confusion. He was previously well until yesterday morning, when the nursing staff observed that he seemed lethargic and spent the day in bed. Later that night, the staff tried to communicate with him but he was not oriented to place or time. His medical history is significant for hypertension, COPD, paroxysmal atrial fibrillation, and urinary incontinence requiring a urethral catheter. He is compliant with medications, has no recent medication changes, and has no sick contacts. On examination, his temperature is 35.4°C, his blood pressure is 68/44 mmHg, his heart rate is 88 beats per minute, and his respiratory rate is 18 breaths per minute. He is lethargic with flat neck veins; his cardiac examination is normal. His lungs are clear to auscultation, and there is no significant abdominal tenderness. His neurologic examination is normal, and his extremities are warm and well perfused. His laboratory values are significant for a leukocyte count of 13,500/mm3 and a serum lactate of 3.9 mmol/L (normal range 0.6 to 2.3 mmol/L). A urinalysis shows significant pyuria. A chest x-ray shows hyperinflated lungs but no focal opacities. Which of the following is the most appropriate next step in management?

You are providing care for a person with dementia who suddenly appears confused, disoriented, and has incoherent speech. These are new behaviors for the individual. What action should you take?Attempt to give the person a drink of water.Notify the nurse of this change.Continue providing care to the person.Check on the person after your break to see if the confusion is gone.

The nurse is triaging phone calls at the mental health clinic. Which client situation requires immediate follow-up? A client prescribedA. olanzapine reporting muscle stiffness and feeling hot.B. haloperidol reporting blurred vision and constipation.C. clozapine reporting occasional twitches of the mouth.D. aripiprazole reporting feeling very restless.

A 7-year-old male patient is being evaluated for seizures. While in the child’s room talking with the child’s parents, you notice that the child appears to be daydreaming. You time this event to be 10 seconds. After 10 seconds, the child appropriately responds and doesn’t recall the event. This is known as what type of seizure? aAbnormal bTonic-clonic cGrandmal dAbsence