A child with acute postinfectious glomerulonephritis is exhibiting a change in the level of consciousness. The nurse should:
1. Provide seizure precautions for the patient.
2. Document the findings and reassess in one hour.
3. Notify the physician immediately, request an order for Lorazepam, and provide seizure precautions.
4. Anticipate that this is the normal healing process.
3
Feedback
1. The change in LOC is a medical emergency, and the doctor should immediately be notified and seizure precautions should be taken.
2. The situation is a medical emergency and requires immediate interventions.
3. The change in LOC is a medical emergency requiring doctor notification, a request for an antiepileptic medication, and seizure precautions.
4. Changes in LOC are not a normal part of healing and require immediate medical attention.
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