Question

A nurse is caring for a patient who is expecting a generalized tonic-clonic seizure. Which of the following actions should the nurse take? a) Insert a tongue blade into the client’s mouth b) Administer an IV bolus of Iorazepam c) Apply restraints to the client d) Place the client in the prone position

Answer 1

When caring for a patient expecting a generalized tonic-clonic seizure, the nurse should prioritize patient safety. Administering an IV bolus of Lorazepam is a correct action, while inserting a tongue blade, applying restraints, and placing the client in the prone position are not recommended.

Step-by-step explanation:

When caring for a patient who is expecting a generalized tonic-clonic seizure, the nurse should prioritize ensuring the safety of the patient. Inserting a tongue blade into the client's mouth (option a) is not recommended as it can cause injury. Administering an IV bolus of Lorazepam (option b) is a correct action as it is an anticonvulsant that can help manage the seizure. Applying restraints to the client (option c) is not recommended as it can potentially harm the patient. Placing the client in the prone position (option d) is also not recommended.