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A nurse is caring for a client who was admitted for status epilepticus and is on seizure precautions. Which of the following actions should the nurse plan to take?

A. Assess hourly for a spike in blood pressure.
B. Maintain the client on bed rest.
C. Keep a padded tongue blade at the bedside.
D. Establish IV access.

User Branquito
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Final answer:

For a client with status epilepticus, a nurse should establish IV access for medication administration, ensure patient safety, and avoid outdated practices like having a padded tongue blade at the bedside.

Step-by-step explanation:

The question pertains to the nursing interventions that are appropriate for a client admitted with status epilepticus and on seizure precautions. In such a scenario, it's crucial for the nurse to ensure that the patient is safe and to prevent further complications. Establishing IV access is a priority to facilitate the administration of anticonvulsants such as diazepam, which may be used to control and manage the seizures. It's important to note that outdated practices, such as keeping a padded tongue blade at the bedside, are no longer recommended due to the risk of injury and are therefore not the correct action to take. Instead, the nurse should focus on maintaining a safe environment, which may include bed rest, depending on the patient's condition, and continuous monitoring of vital signs and seizure activity.

User Marius Burz
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