Which of the following should be included in the nursing care of a patient having an epileptic seizure? (Select all that apply.)
a. Protect the patient from injury by removing nearby objects.
b. Place the patient in a supine position.
c. Monitor vital signs when possible.
d. Observe and document progression of symptoms.
e. Restrain the patient to prevent injury.
f. Suction if necessary.
ANS: A, C, D, F
The patient should be protected from injury. Vital signs are monitored when able, if it will not injure the patient. Observing symptom progression can help diagnose the type of seizure, and suction may be necessary to prevent aspiration. The patient should be placed in a side-lying position if possible, not supine, to prevent aspiration. Restraining the patient increases risk for injury.
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