The nurse is caring for a patient with status epilepticus. The first goal of care for this patient would be to:
1. Determine the patient's medical history.
2. Obtain an EEG.
3. Maintain an airway.
4. Identify the cause of the seizure.
3
Rationale 1: This is not the first priority for this patient.
Rationale 2: This is not the first priority for this patient.
Rationale 3: The first priority in status epilepticus is airway and oxygenation. For some patients, a nasopharyngeal airway is sufficient with provision of oxygen by nasal cannula. For other patients, endotracheal intubation is necessary.
Rationale 4: This is not the first priority for this patient.
You might also like to view...
A Chinese client may believe that disease results when the energy flow is blocked and that a healing technique releases blocked energy by pressing or massaging certain points along the meridians. This technique is known as:
a. acupressure c. Ayurveda b. acupuncture d. bodymind centering
A client is ordered an intravenous (IV) solution of Ringer's lactate 1000 mL to infuse at 40 mL/hr. What is the maximum amount of time the nurse should allow this IV to hang?
A) 22 hours B) 23 hours C) 24 hours D) 25 hours
A patient is having a "fight or flight response" after receiving bad news about his prognosis. What affect will this have on the patient's sympathetic nervous system?
A) Constriction of blood vessels in the heart muscle B) Constriction of bronchioles C) Increase in the secretion of sweat D) Constriction of pupils
Which pain management task can be safely delegated to nursing assistive personnel?
1) Assessing the quality and intensity of the patient's pain 2) Evaluating the effectiveness of pain medication 3) Providing a therapeutic back massage 4) Administering oral dose of acetaminophen