A patient recovering from surgery to remove a brain tumor is found jerking rhythmically in the bed and unresponsive to verbal stimuli. What should the nurse do first?
a. Call the physician.
b. Find another nurse to assist.
c. Hold the patient firmly to keep the patient from injuring someone.
d. Protect the patient from injury and observe the sequence of events.
ANS: D
The prime objective in caring for a patient experiencing a seizure is to prevent injury to the patient. A. B. Once the patient's safety has been assured, another nurse can be called to assist and the physician can be notified if necessary. C. Holding the patient increases the risk of injury.
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