A client has started having uncontrolled seizures that are not responding to usual medications. Nursing working with the client must pay special attention to which of the following priority aspects of this clients care? Assessment of:
A) ECG for arrhythmias
B) Urine output and continence
C) Ability to grasp hands and squeeze on command
D) Respiratory status and oxygen saturation
Ans: D
Feedback:
Tonic–clonic status epilepticus is a medical emergency and, if not promptly treated, may lead to respiratory failure and death. Treatment consists of appropriate life support measures. Airway/breathing is always the priority in this emergency situation.
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