Fundamentals final ati quizlet

2. (pH between 0-4) a nurse is caring for a client with a closed head injury. when pressure is applied to the client's nail beds, the clients eyes open and adduction of the arms with flexion of the elbows and wrists is noted. the client also moans with stimulation, what is the GCS? 7. eye opening 1-4. verbal 1-5.

Fundamentals final ati quizlet. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a new RX for antihypertensive medication. Prior to administering the medication, the nurse uses an electronic database to gather information about the medication and the effects it might have on this client. Which of the following components of critical thinking is the nurse using when he ...

review whole chapter 8 - critical thinking. review whole chapter 1. review chapter 9 (discharge) answers. sterile field should be ____ waist level. above waist level! hand hygiene. use warm water (not hot water) wash hands with soap and water for at least 15 sec. review chain of infection and types of precautions (in fundamentals lecture notes)

Artificial intelligence (AI) is a rapidly growing field of technology that is changing the way we interact with machines. AI is the ability of a computer or machine to think and le...Study with Quizlet and memorize flashcards containing terms like While eating, a client suddenly coughs a few times then attempts to cough and makes a whistling sound on inhalation. The nurse recognizes that the client is choking. When performing the Heimlich maneuver on a conscious client, which nursing action is effective?, A nursing is caring for a client who is 1 day postoperative ... a. dissolve each med in 5mL of sterile water. b. draw up meds together in syringe. c. push syringe plunger gently when feeling resistance. d. flush tube with 15 mL of sterile water. Answer: D. flush w/ 15-30mL before admin & between admin of each med. flush w/ 30-60mL after last admin of med. Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing a client's medication prescription, which reads, "digoxin 0.25 by mouth every day." Which of the following components of the prescription should the nurse question?, A client who reports shortness of breath requests her nurse's help in changing positions. After repositioning the client, which of the following ...Answer: B. A. For a subcutaneous injection, the nurse should use a 25- to 27-gauge needle. B. Correct: For a subcutaneous injection, the nurse should select a site that has an adequate fat-pad size (abdomen, upper hips, lateral upper arms, thighs).Quizlet is a learning tool that helps you study and memorize flashcards on various topics. This webpage contains flashcards on nursing fundamentals, such as health ...

278 terms. hannah_bertram13. Study with Quizlet and memorize flashcards containing terms like Hyperventilation s/s, hypo-ventilation s/s, hypercarbia, s/s, tx and more.Cultural and Spiritual Nursing Care Learn with flashcards, games, and more — for free.b. measure the pt's BP after the nurse administers an antihypertensive medication. c. test the pt's swallowing ability by providing thickened liquids. d. use a communication board to ask what the pt wants for lunch. e. irrigate the pt's indwelling urinary catheter. a. b. d. a nurse is using an open irrigation technique to irrigate a pt's ...Study with Quizlet and memorize flashcards containing terms like Normal Na+ levels, Normal K+ levels, Normal Ca2+ levels and more. ... ati learning system 3.0 fundamentals final. 49 terms. meagan_tallman9. Sets found in the same folder. ATI Fundamentals Review. 110 terms. kdecell1. ATI Fundamentals for Nursing. 677 terms. am0422 Teacher.Study with Quizlet and memorize flashcards containing terms like How can an RN delegate surgical aesepsis responsibilities to UAP's?, How can an RN delegate transmission-based precaution responsibilities to UAP's?, When should traditional hand washing be used instead of using alcohol-based sanitizer? and more.Use a leading zero if it applies. Do not use a trailing zero.) 2. A nurse is planning to use the teach-back method to educate a client about a new antihypertensive medication. Which of the following should the nurse include to demonstrate this method? Ask the client to explain the information using their own words.Sleep cycle lasts. 90-100 minutes. Study with Quizlet and memorize flashcards containing terms like The scope of professional nursing practice is determined by the rules promulgated by which organization?, Professional identity includes which attributes, Respect for …

A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix together and administer subcutaneously. Determine the correct order of steps for this procedure. Inject air into NPH insulin. Inject air into regular insulin. Withdraw regular insulin.nursing process-implementation. 1. doing and documenting. 2. the first three process phases-support implementation. 3. the implementing phase, provides the actual nursing activities and client responses that are evaluated for effectiveness. roles of the provider-plan of care. 1.carries out the plan of care.150mL x 8hr= 1,200ml, 1oz=30mL : 4oz x 30mL = 120mL of Juice, 1L= 1,000mL 0.5L x 1,000mL= 500mL of water add 1,200+ 120+500= 1820. A nurse is caring for a client who is refusing medical treatment. Which of the following actions should the nurse take? Document the client's refusal of treatment.ATI - Fundamentals FINAL Quiz Learn with flashcards, games, and more — for free.

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Difference between active and palliative care is that active care is. aggressive- focuses on treatment for a cure. To qualify for admission to a hospice, the attending doctor must certify that patient has a life expectancy of. 6 months or less. In hospice the patient must designate a primary caregiver for himself.Study with Quizlet and memorize flashcards containing terms like Which of the following conditions does not impact the traveler's per diem and, therefore, should not be reflected …assessment is. collecting,organizing,documenting,and validating a patient's health data. diagnosis. sorting and analyzing the assessment data to identify potential health problems. planning. nurse and patient set priorities and goals to eliminate, diminish or control identified problems. implementation.In today’s fast-paced digital world, students need every advantage they can get to stay ahead of the curve in their academic pursuits. One powerful tool that can help students achi...Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing a client's medication prescription, which reads, "digoxin 0.25 by mouth every day." ... ATI FUNDAMENTALS PROCTOR FINAL. 70 terms. jailenerose. Preview. Chart on Manifestations in Deficiencies. 10 terms. Bryce_Brandfon. Preview. BOD UNIT 3: Vessels. 26 terms ...

A nurse runs an immunization clinic in the inner city. B. A nurse teaches a patient with an amputation how to care for the residual limb. C. A nurse provides range-of-motion exercises for a paralyzed patient. D. A nurse teaches parents of toddlers how to childproof their homes. E.Key terms, definitions, lists, concepts for ATI Fundamental Finals from Fundamentals for Nursing 7.0, Review Module. ... Fundamentals Final Review. 33 terms.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who requires a 24-hr urine collection. Which of the following statements by the client indicates an understanding of the teaching?, A nurse is assessing a client who has been on bed rest for the past month. Which of the following findings should the nurse identify as … All other response are correct but other action should be 1st. -should apply a fecal collection system to divert feces away from area of irritation. -should apply barrier cream to decrease skin breakdown. -should cleanse and dry area to decrease further breakdown. F2. Edema Assessment - Pitting. Compress the skin for at least 5 seconds over a bony prominence (behind the medial malleolus, the dorsum of foot, over the shin) and then assess. The depth of the pitting reflects the degree of edema.. 1 + = Trace, 2mm, rapid skin response. 2+ = Mild, 4mm, 10-15 second skin response. ati learning system 3.0 fundamentals final. a nurse is caring for a client who has fecal impaction. Before digital removal of the mass, which of the following types of enemas should the nurse plan to administer to soften the feces. Click the card to flip 👆.ATI - Fundamentals FINAL Quiz Learn with flashcards, games, and more — for free.7-20 mg mg/dL. Glucose. 60-100. Partial Thromboplastin Time (PTT) 60-70 seconds [Heparin] INR. 0.9-1.2 seconds [Coumadin] Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to care for a client who has methiciliin-resistant Staphylococcus aureus (MRSA) in the lungs.A. Raise the head of the client's bed 15º to 20º. B. Place the client supine with knees bent. C. Assess the client for manifestations of shock. D. Cover the area with a sterile dressing, moistened with 0.9% sodium chloride irrigation. D. Cover the area with a sterile dressing, moistened with 0.9% sodium chloride irrigation. Study with Quizlet ...ATI - Fundamentals FINAL Quiz Learn with flashcards, games, and more — for free.A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix together and administer subcutaneously. Determine the correct order of steps for this procedure. Inject air into NPH insulin. Inject air into regular insulin. Withdraw regular insulin.Top Ati Fundamentals Final Flashcards Ranked by Quality. NUR 101 - Final Exam. By: Michelle Rainer. 131 Cards –. 3 Decks –. 2,055 Learners. Sample Decks: ATI Practice Test - Final Exam, ATI Practice Test - Learning System Fundamentals 1, ATI Practice Test - Learning System Fundamentals 2. Show Class. ATI. By: Brooke Friday. 1,137 Cards –.

Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client how to self administer insulin. Which of the following actions should the nurse take to evaluate the clients understanding of the process within the psychomotor domain of learning?, A client is being discharged home with oxygen therapy via nasal cannula. Which of the following instructions should the ...

Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel? a. Changing the dressing for a client who has a stage 3 pressure injury b. Determining a client's response to a diuretic c. Comparing radial pulses for a client who is postoperative d.Providing ...A cyclical, critical thinking process that consists of five steps to follow in a purposeful, goal-directed, systematic way to achieve optimal client outcomes. 5 steps of the nursing process. Assessment, Diagnosis, Planning, Implementation, Evaluation. Assessment/data collection.A cyclical, critical thinking process that consists of five steps to follow in a purposeful, goal-directed, systematic way to achieve optimal client outcomes. 5 steps of the nursing process. Assessment, Diagnosis, Planning, Implementation, Evaluation. Assessment/data collection.Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing a client's medication prescription, which reads, "digoxin 0.25 by mouth every day." ... & Final, ATI Fundamentals Review 2019. Flashcards; Learn; Test; Match; Flashcards; Learn; Test; Match; ... ATI 2019 Fundamentals Proctored Exam, ATI Fundamentals Retake ... A nurse is preparing to administer a medication to a preschooler and must convert child's weight from pounds to kilograms. The child weighs 30 pounds how many kilograms does a child weigh. Divide by 2.2 - 13.6. A nurse is caring for a client who is postoperative following a mastectomy. Study with Quizlet and memorize flashcards containing terms like While eating, a client suddenly coughs a few times then attempts to cough and makes a whistling sound on inhalation. ... ati learning system 3.0 fundamentals final. 49 terms. meagan_tallman9. acid base imbalances case study Qs. 5 terms. kidsrock12. Ati Fundamentqls test A. 57 ...Study with Quizlet and memorize flashcards containing terms like The scope of professional nursing practice is determined by the rules promulgated by which ...Study with Quizlet and memorize flashcards containing terms like A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (SATA) A) Home health care B) Rehabilitation facilities C) Diagnostic centers D) Skilled nursing facilities E) Oncology centers, A nurse is explaining the various types of health ...A nurse in a long term care facility is caring for a client who dies during the nurse's shift. Identify the sequence in which the nurse should perform the following steps. 1. Obtain the pronouncement of death from the provider. 2. Remove tubes and indwelling lines. 3.-remove items that could cause the client to trip (rugs, cords, carpets)-place electrical/extension cords against a wall behind furniture-monitor gait/balance, provide aids PRN-make sure steps/sidewalks are in good condition-grab bars near toilet, tub, shower-stool riser, toilet cushion-nonskid bath mats/shower mats-shower chair or bedside commode PRN-ensure adequate lighting-water heater 120 ...

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- Have oxygen, suction, oral airway at bedside - Padded side rails - Saline locked IV for immediate access (High risk patients) - Rapid intervention to maintain airway patency. - Clutter free environment - Make sure everyone (family too) knows that if pt. has a seizure, to not put anything in their mouth during seizure. *Only thing that would go in mouth during seizure is airway for status ...Verified answer. physics. According to the Bohr model of the hydrogen atom, as we look at higher and higher values of n, the difference in energy between adjacent electron orbits A. gets progressively smaller and smaller. B. gets progressively larger and larger. C. remains constant. Verified answer.Bradycardia is a dysrhythmia when the heart has 60 or less beats per min. It can be caused by hypothermia, hypoxemia, and most commonly medications such as beta blockers and calcium channel blockers. Discuss best route for taking temperatures on various types of patients, ex. agitated, confused.Study with Quizlet and memorize flashcards containing terms like Transfer a patient to wheelchair from bed, What is Bowel bladder training, 8oz 1 cup (1oz= 30ml) and more. ... ATI Fundamentals Practice Questions. 308 terms. scallyhm. Preview. OS 3. Craniomaxillofacial Trauma. 30 terms. badgyalpreepree. Preview. HA Exam 2 Book Review Q's. 50 ...The nurse is performing her role as a/an: A. Advocate. B. Communicator. C. Change agent. D. Caregiver. Click the card to flip 👆. D. Caregiver. The role of a nurse as caregiver helps client promote, restore and maintain dignity, health and wellness by viewing a person holistically.Quiz yourself with questions and answers for ATI FUNDAMENTALS FINAL, so you can be ready for test day. Explore quizzes and practice tests created by teachers and students or create one from your course material.use multiple communication modalities. What are the stages of skin breakdown /pressure ulcers? decribe each. Stage 1 intact non blanchable. Stage 2 Partial Thickness. Stage 3 Full Thickness 3rd layer. Stage 4 full thickness exposed bone and tendon. What are the six rights of medication administration?Study with Quizlet and memorize flashcards containing terms like A nurse is teaching parents how care for their newborn. Which of the following statements indicates a good understanding of how to use a bulb syringe to suction excess mucous from the infant's airway?, The parent of a two-year-old child reports feeling frustrated with the fact that her son is saying no to everything. The nurse ...3. moisture- access moisture can pose threat to skin. 4. mobility - pt has mobility/ staff moves them. 5. nutrition- eating portion of meal or malnutrition. 6. friction and shearing- amount of assist pt need to move and degree of sliding when skin and bone move in opposite.Intrapersonal communication. Communication that occurs within an individual. Also identified as "self-talk." This is the internal discussion that takes place when an individual is thinking but not outwardly verbalizing the thoughts. In nursing, this communication allows the nurse to assess clients and/or situations & think critically about the ...which diagnostic test: - uses a iodine based contrast dye that's injected intravenously to detect kidney stones, obstruction, tumors, urinary tract disease, and trauma. - requires you to assess for allergies to iodine, shellfish, and contrast medium dyes. - pt. is kept NPO for 8 hrs before the test. - requires the injection site to be observed ...Study with Quizlet and memorize flashcards containing terms like Sodium range, Calcium range, Potassium range and more. ….

Study with Quizlet and memorize flashcards containing terms like A nurse is performing a skin assessment for a client who expresses concern about skin cancer. ... ATI fundamentals practice test A. 15 terms. clymorgan. Preview. ATI Fundamental. 120 terms. tiffitnursing98. Preview. ... KIRKY GIRLS FINAL <3. 72 terms. Cellulitus. Preview. Cardio ...Start studying ATI Fundamentals final. Learn vocabulary, terms, and more with flashcards, games, and other study tools.A nurse runs an immunization clinic in the inner city. B. A nurse teaches a patient with an amputation how to care for the residual limb. C. A nurse provides range-of-motion exercises for a paralyzed patient. D. A nurse teaches parents of toddlers how to childproof their homes. E.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has terminal lung cancer. The nurse observes the client's family assisting with all the ADLs. Which of the following rationales for self-care should the nurse communicate to the family? A. Allowing the client to function independently will strength muscles and …Study with Quizlet and memorize flashcards containing terms like After reviewing the information in the infant's chart, the nurse should anticipate a provider prescription for, a nurse is preparing to perform an abdominal assessment on a child. ... ATI Fundamentals Proctored Exam Study Guide. ahip 2022/2023. 118 terms. superhilliardtessa ...Study with Quizlet and memorize flashcards containing terms like A. Home Health Care B. Rehabilitation Facilities, B. Medicare E. Medicaid, and more.ATI Fundamentals: Fundamentals of Nursing Exam 1. Get a hint. participants of health care systems. Click the card to flip 👆. 1. consumers (clients) 2. licensed providers (RN, LPN, MD, PT, OT, etc.) 3. unlicensed providers (assistive personnel) Click the card to flip 👆. 1 / 103.Hmm, looks like you're studying old notes... The page you're looking for is outdated, or just isn't a thing Fundamentals final ati quizlet, professional nursing organizations seek to: A. improve standards of practice. B. expand nursing roles. C. improve the welfare of nurses in specialty areas. D. all of the above. D. all of the above. A nurse is caring for a group of clients on a medical‑surgical unit. For which of the following client care needs should the nurse initiate a ..., ATI fundamentals final questions. A nurse is teaching a client how to self-administer insulin. Which of the following actions should the nurse take to evaluate the client's understanding of the process within the psychomotor domain of learning. A. Ask the client if he want to self-administer his insulin., ATI Fundamentals of Nursing Final Exam Help! Studying/Testing. Hi! So, I have recently taking both practice assessment A and B one time each and scored63%. My final exam is an ATI proctored exam and I am very concerned about doing well. I know that I can use the Ati website to do practice quizzes and stuff like that., Study with Quizlet and memorize flashcards containing terms like BEST POSITION FOR USE OF INCENTIVE SPIROMETER, WHEN A PATIENT REFUSES TO USE INCENTIVE SPIROMETER, IV CATHETER INSERTION FOR AN OLDER ADULT and more. ... Fundamentals ATI Proctored Exam Study Guide. Teacher 202 terms. …, 50 of 50. Quiz yourself with questions and answers for ATI Learning System RN: Fundamentals Final, so you can be ready for test day. Explore quizzes and practice tests created by teachers and students or create one from your course material., Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing a client's medication prescription, which reads, "digoxin 0.25 by mouth every day." ... & Final, ATI Fundamentals Review 2019. Flashcards; Learn; Test; Match; Flashcards; Learn; Test; Match; ... ATI 2019 Fundamentals Proctored Exam, ATI Fundamentals Retake ..., Study with Quizlet and memorize flashcards containing terms like A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (SATA) A) Home health care B) Rehabilitation facilities C) Diagnostic centers D) Skilled nursing facilities E) Oncology centers, A nurse is explaining the various types of health ..., Quizlet has study tools to help you learn anything. Improve your grades and reach your goals with flashcards, practice tests and expert-written solutions today. ... For "Fundamentals Final (ATI)" Password. Enter Password. About us. About Quizlet; How Quizlet works; Careers; Advertise with us; Get the app; For students. Flashcards; Test; …, autonomy. the right to make one's own personal decisions; even if not in the person's best interest. Beneficence. good for others, without any self-interest. Fidelity. fulfillment of promises. Justice. fairness in care delivery and use of resources. Important points of ATI book for ATI exam Learn with flashcards, games, and more — for free., Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing a client's medication prescription, which reads, "digoxin 0.25 by mouth every day." Which of the following components of the prescription should the nurse question?, A client who reports shortness of breath requests her nurse's help in changing positions. After repositioning the client, which of the following ..., Study with Quizlet and memorize flashcards containing terms like The scope of professional nursing practice is determined by the rules promulgated by which ..., Client Education sleep. - Exercise regularly at least 2 hr before bedtime. - Establish a bedtime routine, and reg sleep pattern. - Arrange sleep environment. - Limit alcohol, caffeine, and nicotine at least 4 hrs before bed. - limit fluids 2 to 4 hrs before bedtime. - engage in muscle relaxation if anxious or stressed., Study with Quizlet and memorize flashcards containing terms like dehiscence, evisceration, 1-6 L/min and more., 3. Wash the client's body. 4. Ask the client's family members if they would like to view the body. 5. Place a name tag on the body. Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a new client., Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 24 hr postoperative following an inguinal hernia repair. The client is tolerating clear liquids well, has active bowel sounds, and is expressing a desire for "real food". The nurse tells the client, "I will call the surgeon and ask for a change in diet." The surgeon hears the nurse's report ..., Study with Quizlet and memorize flashcards containing terms like A nursing instructor is explaining the various stages of the lifespan to a group of nursing ..., In today’s digital age, technology has revolutionized the way we learn and acquire knowledge. One such tool that has gained immense popularity among students and educators alike is..., Study with Quizlet and memorize flashcards containing terms like Maslow's Hierarchy of Needs, Piaget's stages of cognitive development, sensorimotor stage and more. ... Ati Fundamentals. Flashcards. Learn. Test. Match. Flashcards. Learn. Test. Match. Created by. brooke_titus7. ... AP English Final Book Names authors. 43 terms. AndrewPiotrowski ..., Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a new RX for antihypertensive medication. Prior to administering the medication, the nurse uses an electronic database to gather information about the medication and the effects it might have on this client. Which of the following components of critical thinking is the nurse using when he ..., Study with Quizlet and memorize flashcards containing terms like 1. A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel?, 2. A nurse is conducting a health assessment for a client who takes herbal supplements. Which of the following statements by the client indicates an understanding of the use of the supplements?, 3 ..., 3. Use sterile technique when performing tracheostomy care at home. 4. Cleanse irritated skin with full-strength hydrogen peroxide. 2. Use tracheostomy covers when outdoors. A nurse is giving an end-of-shift report about a client admitted earlier that day with pneumonia., Study with Quizlet and memorize flashcards containing terms like A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (SATA) A) Home health care B) Rehabilitation facilities C) Diagnostic centers D) Skilled nursing facilities E) Oncology centers, A nurse is explaining the various types of health ..., Study with Quizlet and memorize flashcards containing terms like A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (SATA) A) Home health care B) Rehabilitation facilities C) Diagnostic centers D) Skilled nursing facilities E) Oncology centers, A nurse is explaining the various types of health ..., ati learning system 3.0 fundamentals final. a nurse is caring for a client who has fecal impaction. Before digital removal of the mass, which of the following types of enemas should the nurse plan to administer to soften the feces. Click the card to flip 👆., Study with Quizlet and memorize flashcards containing terms like Fidelity, stereognosis, proprioception and more., Study with Quizlet and memorize flashcards containing terms like Asepsis, Medical Asepsis, Medical asepsis applies to? and more. ... Med Chem Final: drugs + drug classes. 13 terms. Cali_Beyer. Preview. ATI Fundamentals: Chapter 11 (Infection Control) 140 terms. hannahplamondon. Preview. ATI Chapter 11: Infection Control Application Exercise., Study with Quizlet and memorize flashcards containing terms like A charge nurse is discussing the responsibility of nurses caring for clients who have C. difficile. ... Fundamental Final Review - ATI Practice Questions. 145 terms. NTJB98. Preview. PN COMPREHENSIVE PREDICTOR 2023 with NGN. 180 terms. mamimichi. Preview. Exam 3 Short Answer ..., For "ATI: Learning System RN: Fundamentals Final". Password. Enter Password. Quizlet has study tools to help you learn anything. Improve your grades and reach your goals with flashcards, practice tests and expert-written solutions today., Study with Quizlet and memorize flashcards containing terms like A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (SATA) A) Home health care B) Rehabilitation facilities C) Diagnostic centers D) Skilled nursing facilities E) Oncology centers, A nurse is explaining the various types of health ..., COMPLETE THE FOCUSED REVIEW. My program requires us to complete the Focused Review from our first practice test for all ATI proctored exams. As soon as …, Use a leading zero if it applies. Do not use a trailing zero.) 2. A nurse is planning to use the teach-back method to educate a client about a new antihypertensive medication. Which of the following should the nurse include to demonstrate this method? Ask the client to explain the information using their own words., Correct Answer (1): Physical safety. The greatest risk to the client is injury from the seizure. Therefore, the first action the nurse should take is to ensure the client's physical safety by protecting the client's head. The nurse should cradle the client's head in their lap or place a pad underneath the head., ATI book Learn with flashcards, games, and more — for free.