A nurse is caring for a 12-year-old client who has had multiple seizure attacks since she was 5 years of age. Which of the following measures should the nurse employ when the client is having a seizure?
A) Put something in the mouth to keep it open.
B) Observe for a flushing of the skin.
C) Elevate the head of the bed to 45 degrees.
D) Place a soft pad beneath the client's head.
D
Feedback:
The nurse should place a small soft pad beneath the client's head to protect the head from injury. The nurse should avoid putting anything in the client's mouth during a seizure. Doing so can cause the client's teeth to break because of the force. During a seizure, the nurse should observe the client for respiratory depression and not increased respiratory rate. Elevating the head of the bed to 45 degrees is not necessary during a seizure.
You might also like to view...
When the patient is in neurogenic shock, the nurse will assess for
A) bradycardia and hypotension. B) hypertension and tachypnea. C) tachycardia and tachypnea. D) mental confusion and tachycardia.
A patient's spouse states, "I've noticed that my spouse doesn't sleep well anymore and sometimes can't find the right words." What is the most appropriate response by the nurse?
1. "How long have you noticed these changes?" 2. "Does anyone in your family have Alzheimer disease?" 3. "These are common changes associated with age." 4. "Do you think your spouse is depressed?"
You are preparing immunizations for a 12-month-old child who is immunocompromised. Which immunization cannot be given?
a. DTaP b. HepA c. IPV d. Varicella
Mydriatics are drugs that ________ the pupil. One use of mydriatics is to facilitate an eye examination.
Fill in the blank(s) with the appropriate word(s).