What is the priority nursing intervention in a patient with status epilepticus?
A) Pad the bed frame to protect from injury.
B) Document characteristics of the seizure.
C) Administer 50% glucose.
D) Establish and maintain an open airway.
D) Establish and maintain an open airway.
Explanation: A) Although all interventions are correct, the priority is establishing an open airway to maintain oxygenation. Once an open airway is established, the other interventions may be carried out.
B) Although all interventions are correct, the priority is establishing an open airway to maintain oxygenation. Once an open airway is established, the other interventions may be carried out.
C) Although all interventions are correct, the priority is establishing an open airway to maintain oxygenation. Once an open airway is established, the other interventions may be carried out.
D) Although all interventions are correct, the priority is establishing an open airway to maintain oxygenation. Once an open airway is established, the other interventions may be carried out.
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