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1. Question
The nurse is caring for a client who begins to experience seizure activity while in bed. Which actions should the nurse take? Select all that apply.
Correct
Option A,C, and D is the correct answer.
Rationale: Nursing actions during a seizure include providing for privacy, loosening restrictive clothing, removing the pillow and raising padded side rails in the bed, and placing the client on 1 side with the head flexed forward, if possible, to allow the tongue to fall forward and facilitate drainage. The limbs are never restrained because the strong muscle contractions could cause the client harm. If the client is not in bed when seizure activity begins, the nurse lowers the client to the floor, if possible; protects the head from injury; and moves furniture that may injure the client.
Incorrect
Option A,C, and D is the correct answer.
Rationale: Nursing actions during a seizure include providing for privacy, loosening restrictive clothing, removing the pillow and raising padded side rails in the bed, and placing the client on 1 side with the head flexed forward, if possible, to allow the tongue to fall forward and facilitate drainage. The limbs are never restrained because the strong muscle contractions could cause the client harm. If the client is not in bed when seizure activity begins, the nurse lowers the client to the floor, if possible; protects the head from injury; and moves furniture that may injure the client.
What is a Seizure/Convulsion?
A sudden stereotyped episode with change in motor activity, sensation, behavior, and/or consciousness
Due to an abnormal electrical discharge in the brain
The term convulsions is often used interchangeably with seizures. Convulsions are a type of seizure, but not all seizures are convulsions.
Several types of seizures have symptoms other than shaking.
