Question

Implement seizure precautions. The greatest risk to the client is injury from seizures and falls. Grand mal seizures can occur during severe alcohol withdrawal. Therefore, the nurse's priority is to implement seizure precautions to reduce the risk of injury if the client experiences a seizure.

a) Secure the client's head during a seizure
b) Administer an antiepileptic medication immediately
c) Encourage the client to engage in strenuous physical activity
d) Dim the lights in the client's room

Answer 1

Seizure precautions during alcohol withdrawal include securing the client’s head during a seizure, administering anticonvulsants like diazepam, creating a calming environment such as dimming lights, and not engaging in strenuous activities.

Step-by-step explanation:

When implementing seizure precautions for a client at risk due to severe alcohol withdrawal, it's crucial to prioritize strategies that reduce the risk of injury. One key aspect is to secure the client's head during a seizure to prevent trauma. Anticonvulsants, such as diazepam, might be administered to manage seizures and provide neuroprotection against potential brain damage. This is particularly important as seizures can be a part of the acute withdrawal symptoms in clients with a history of chronic alcohol abuse. However, encouraging the client to engage in strenuous physical activity is not advisable during withdrawal. Instead, creating a calming environment, potentially by dimming the lights in the client's room, can help manage sensory stimulation and may reduce the risk of seizure occurrence.