ANCC-RN-BC-Medical-Surgical-Nursing-(ANCC-MSN).pdf -...

ANCC-MSN
Medical
ANCC (RN-BC) Medical-Surgical Nursing

Question:
60
The nurse includes the important measures for stump care in the teaching plan for
a client with an amputation. Which measure would be excluded from the teaching
plan?
Question:
61
Which nursing action is the first priority during a generalized tonic-clonic seizure
episode?

C. Protect the client from injury
D. Monitor vital signs, with special attention directed to respiratory status
Answer:
C
The first priority is to protect the client from injury. Do not restrain the client’s
arms or legs, but make sure he or she does not hit anything. Protect the head with