Question

A nurse is caring for a client who has a new diagnosis of seizure disorder.

Nurses' Notes:
0900: On entry into client's room with discharge papers, client was found on the floor seizing. Call button pressed to ask for additional help.
Complete the following sentence by using the list of options.
The nurse should first address the client's _________ followed by the client's Select __________.
a) Seizure activity, provide emotional support
b) Seizure activity, protect from injury
c) Airway, seizure activity
d) Emotional support, airway"

Answer 1

The nurse should prioritize managing the seizure activity to prevent injury and then ensure the client's airway is clear and that they can breathe effectively.

Step-by-step explanation:

The nurse should first address the client's seizure activity to ensure their safety. During a seizure, it is critical to protect the client from injury by moving any dangerous objects away from them, cushioning their head if necessary, and positioning them safely. After managing the immediate seizure activity and ensuring the client is safe, the nurse should then ensure the client's airway is clear and that the client is breathing effectively. It is a priority in seizure management to maintain the airway and prevent aspiration, which can occur if the client vomits or has secretions. Emotional support is important, but it comes after addressing immediate physical health concerns.