Question

A nurse is caring for a client who has a history of status epilepticus and requires seizure precautions. Which of the following actions should the nurse take?

a. Remove any restraints after the seizure stops.

b. Leave the side rails down to provide easy access.

c. Administer benzodiazepines prophylactically.

d. Pad the side rails and place the bed in a low position.

Answer 1

A nurse caring for a client with a history of status epilepticus and requiring seizure precautions should remove any restraints after the seizure stops, pad the side rails and place the bed in a low position, and leave the side rails down to provide easy access.

Step-by-step explanation:

A nurse caring for a client with a history of status epilepticus and requiring seizure precautions should take the following actions:

1. Remove any restraints after the seizure stops: Restraining the client during a seizure can lead to injury.
2. Pad the side rails and place the bed in a low position: This helps prevent injury from falls during a seizure.
3. Leave the side rails down to provide easy access: This allows for easier access to the client and quick response during a seizure.