What is the nurse's priority intervention for a patient experiencing a tonic-clonic (grand mal) seizure?
a. Place a padded tongue blade in the patient's mouth to prevent biting the tongue.
b. Start a saline lock to administer IV anti-seizure medication.
c. Attach pads to the bed side rails to protect the patient from injury.
d. Monitor for and keep the patient's airway open.
D
The priorities for care of a patient experiencing a seizure include maintaining an airway and pro-viding for safety during the seizure. Forcing a padded tongue blade into a patient's mouth can damage teeth and lead to aspiration of tooth fragments. Padded side rails are controversial be-cause it is not known if they help maintain safety; they may cause embarrassment to the patient. During a seizure is not the time to place a saline lock.
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Indicate whether the statement is true or false