What is included in the nursing management of the patient with generalized tonic-clonic seizure activity? (Select all that apply.)
a. Restraining the patient's arms to avoid further injury
b. Placing padding around or under the patient's head
c. Attempting to insert a tongue depressor into the patient's mouth
d. Positioning the patient on the side once the relaxation stage is entered to allow oral secretions to drain
e. Requesting additional assistance and/or necessary equipment in case the patient does not begin breathing spontaneously when the seizure is over
ANS: B, D, E
Managing a patient during a seizure includes protecting the patient from further injury, (placing padding around or under the head to help prevent head injury), positioning the patient in the recovery position to facilitate respiratory effort, clearing the airway, and initiating ventilations should the patient lack spontaneous respirations after seizure. Restraining a patient who is having a seizure can cause, rather than prevent, injury. Inserting anything into the mouth of someone who is having a seizure can cause injury.
You might also like to view...
A nurse is working with a parent-teacher association to combat school bullying. What action can the nurse suggest that would best help to decrease this form of interpersonal violence?
A. Advise that victims' parents call law enforcement and press charges. B. Begin offering martial arts classes in the school for bullied children. C. Encourage the school to adopt no-tolerance policies for bullying. D. Suggest limiting television viewing, especially for younger children.
Which population groups are most at risk for developing macular degeneration? (Select all that apply.)
a. African American b. Asian American c. Caucasian d. Hispanic
During an assessment, a patient who is 5 months pregnant tells the nurse that she has to change her diet because she is just becoming too fat. Which nursing diagnosis should the nurse use to guide interventions for the patient at this time?
A) Powerlessness B) Imbalanced nutrition C) Deficient knowledge D) Disturbed body image
Which of the following is the most important remediable risk factor for cardiovascular disease in older adults?
A) Smoking B) Stress C) Sedentary lifestyle D) Aggressive personality