Seizure Nursing Care
The nurse is expecting admission of a seizure client and is setting up the room. What is the most important thing to get ready prior to client arrival? Prepare to start an IV Check that suction is set up and working properly Pull lorazepam in anticipation Pad the side rails
Check that suction is set up and working properly
The triage nurse has 4 clients that all have stable vital signs and patent airways. The nurse is trying to determine which client is the priority. Based on the following, which client should the nurse make a priority? Post-ictal and hasn't had any anti-seizure medications Chronic back pain who fell and now has worsening back pain Crohn's flare up and severe abdominal pain Hematoma to the left forehead from a fight
Post-ictal and hasn't had any anti-seizure medications The client who is postictal means they have just had a seizure. A client who had a seizure is likely to have another seizure, especially since they have not been able to take their anti-seizure medication.
A client is in the hospital after being recently diagnosed with a seizure disorder. The nurse is helping the client understand how to stay safe in case a seizure occurs. Which of the following information should the nurse include as part of teaching? Select all that apply. Take baths instead of taking showers Use the front burners of the stove while cooking Keep bathroom and bedroom doors unlocked when occupying them Avoid exercising alone and work out with a buddy Close drawers after using them
Close drawers after using them Avoid exercising alone and work out with a buddy Keep bathroom and bedroom doors unlocked when occupying them A client with a seizure disorder may be at risk of being injured if a seizure occurs while performing daily activities. The nurse can provide information to the client about how best to stay safe in case a seizure occurs. The client should avoid locking the bathroom door at home because if the client has a seizure, others would not be able to help. Activities such as exercise should not be done alone in case the client is away from home and has a seizure. Additionally, the client must always consider surroundings such as open drawers and sharp edges that could cause an injury in the event of a seizure. A client with a seizure disorder may be at risk of being injured if a seizure occurs while performing daily activities. The nurse can provide information to the client about how best to stay safe in case a seizure occurs. The client should avoid locking the bathroom door at home because if the client has a seizure, others would not be able to help. Activities such as exercise should not be done alone in case the client is away from home and has a seizure. Additionally, the client must always consider surroundings such as open drawers and sharp edges that could cause an injury in the event of a seizure. A client with a seizure disorder may be at risk of being injured if a seizure occurs while performing daily activities. The nurse can provide information to the client about how best to stay safe in case a seizure occurs. The client should avoid locking the bathroom door at home because if the client has a seizure, others would not be able to help. Activities such as exercise should not be done alone in case the client is away from home and has a seizure. Additionally, the client must always consider surroundings such as open drawers and sharp edges that could cause an injury in the event of a seizure. Reset Test
A 54-year-old client who has suffered from a head trauma has developed seizures as a result of his condition. The client is afraid that he will have a seizure when he is away from home. Which information should the nurse give to this client that will help him to manage this situation? Provide information about bite blocks and pillows that the client can have on hand for someone to use in case he has a seizure Explain that he should spend most of his time at home and avoid traveling Help the client determine if there are environmental triggers that might contribute to seizure development Teach the client about alternative activities he can perform that will minimize the risk of having a seizure in front of other people
Help the client determine if there are environmental triggers that might contribute to seizure development A client who has seizures may fear that he will be in public when a seizure occurs, which could be embarrassing or could lead to an injury for the client. The nurse can teach the client about how to protect himself and recognize when a seizure might occur so that if he has a seizure in public, he will remain safe. The client does not have to stay home all the time, but he should know what triggers are in the environment that may more likely cause a seizure.
A client with epilepsy has regular tonic-clonic seizures. Which precautions would the nurse use to modify the hospital environment that would most likely keep this client safe? Require that the client keep the bathroom door open while she is using it Keep the foot of the bed lower than the head of the bed Provide written instructions for the client about what to do during a seizure Keep frequently used items nearby and within easy reach
Keep frequently used items nearby and within easy reach A client with a seizure disorder is at risk of being injured if she has a seizure and hits her head or another part of the body. In the hospital environment, the nurse should ensure that important items are kept close to the client so that she does not have to reach far to get them. This reduces the risk of falls and injuries for this client.
The nurse is caring for a client with a history of seizures. The client starts to actively seize. What is the very first thing the nurse should do? Administer lorazepam Maintain a patent airway Ensure the surroundings are safe Call for help
Maintain a patent airway In any situation, the nurse should automatically go through the ABCs of prioritization. Airway is first. The nurse must ensure that this client's airway is patent, including turning the client to one side if they vomit, and NEVER inserting a bite block in their mouth, as they could choke on this.
A priority nursing intervention in caring for a client who is having a seizure includes what? Elevate the head to 45 degrees Put the client in restraints Maintain airway Pad the side rails of the bed
Maintain airway The priority nursing intervention for a client having a seizure is to maintain the client's airway. This may include placing the client on their side to prevent aspiration. Bite blocks are no longer recommended.