An older adult client is experiencing a tonic-clonic (grand mal) seizure exceeding 10 minutes in length. Which medication should the nurse prepare to administer to this client?
A) Intramuscular injection of diazepam
B) 5% dextrose solution IV
C) Intravenous diazepam slowly over several minutes
D) Intravenous bolus of 10% dextrose
Answer: C
Grand mal, or tonic-clonic, seizure requires prompt management if it continues after 10 minutes has elapsed. Although IV fluids are indicated, a dextrose solution is not indicated. Diazepam may be administered by an IV slowly over several minutes, but not intramuscularly.
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