A 78-year-old client experiences a tonic-clonic (grand mal) seizure. The nurse notes the time at the onset of the seizure. The seizure continues, exceeding 10 minutes. The nurse notifies the physician
Which of the following interventions can the nurse likely anticipate being ordered? 1. Administer 0.9% sodium chloride IV.
2. Administer an intravenous bolus of 10% dextrose.
3. Administer an intramuscular injection of diazepam.
4. Administer 5% dextrose solution IV.
1. Administer 0.9% sodium chloride IV.
Rationale:
Grand mal, or tonic-clonic, seizure requires prompt management if it continues after 10 minutes has elapsed. IV solutions are indicated. The IV solution of choice is 0.9% sodium chloride. A dextrose solution is not indicated. Diazepam may be administered but not intramuscularly. It will be given intravenously.
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