A patient being treated for a traumatic brain injury for 3 days begins to seize. Which intervention is the nurse's priority?

1. Administer fosphenytoin (Cerebyx) 4 mg per kg of patient body weight.
2. Keep the patient safe and maintain the airway.
3. Lower the head of the bed.
4. Initiate a recording of the patient's cardiac rhythm.


Answer: 2

Nursing

You might also like to view...

Which nursing diagnosis would be considered a priority nursing diagnosis for clients experiencing dysrhythmias?

A. Impaired Coronary Conduction B. Ineffective Tissue Perfusion C. Increased Cardiac Output D. Risk for Injury

Nursing

The nurse is caring for an anxious patient who is having difficulty communicating. The patient can make no decisions and sits seemingly unable to take any action. The nurse determines that this patient is at which level of anxiety?

a. mild c. severe b. moderate d. panic

Nursing

A nurse suspects barbiturate toxicity in assessing which of the following client manifestations?

a. warm dry skin c. redness to the skin b. hypertension d. sustained pupillary constriction

Nursing

An older client who is in the process of recovering from a serious illness tells the nurse that he would like to gain back the weight lost while in the hospital. The nurse explains that in order to gain weight, positive energy expenditure must exist

Several ways to create positive energy expenditure would be: (Select all that apply.) 1. Increase the amount of food consumed daily. 2. Enhance caloric intake with high protein nutritional supplements. 3. Limit alcohol consumption. 4. Avoid unnecessary strenuous activity. 5. Decrease intake of nutrient rich foods.

Nursing