A patient has been receiving treatment for status epilepticus for the last 20 minutes
What will the nurse prepare to implement to help the patient at this time? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Prepare for emergency intubation.
2. Insert an indwelling urinary catheter.
3. Monitor body temperature.
4. Obtain an order for a bedside electroencephalogram.
5. Insert an intravenous access line.
1,2,3,4
Rationale 1: If the seizure continues beyond 20 to 30 minutes, the patient should be intubated.
Rationale 2: If the seizure continues beyond 20 to 30 minutes, the patient should have an indwelling urinary catheter inserted.
Rationale 3: If the seizure continues beyond 20 to 30 minutes, the nurse should monitor the patient's body temperature.
Rationale 4: If the seizure continues beyond 20 to 30 minutes, an electroencephalogram should be obtained.
Rationale 5: An intravenous access line would have been placed earlier for the administration of intravenous medication.
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