Question

During a patient's bath, the nurse observes the patient having a tonic clonic seizure. The nurse immediately turns the patient to a side-lying position. The nurse is demonstrating which phase of the nursing process?

A. Assessment
B. Planning
C. Implementation
D. Evaluation

Answer 1

The nurse turning the patient to a side-lying position during a tonic-clonic seizure is an example of the Implementation phase in the nursing process. Rapid assessment of neurological function is critical in emergencies to provide immediate care and prevent further damage. Option C is correct.

Step-by-step explanation:

When the nurse immediately turns the patient to a side-lying position after observing a tonic-clonic seizure during a patient's bath, the nurse is demonstrating the Implementation phase of the nursing process. The Implementation phase involves carrying out or executing the nursing actions planned during the previous phase. This action is necessary to help protect the patient's airway and prevent aspiration during the seizure.

Rapid assessment of neurological function in an emergency situation is critical because it helps to determine the seriousness of a patient’s condition, to make quick decisions for immediate intervention, and to prevent further neurological damage. It is one of the primary responsibilities of health care professionals to ensure the safety and well-being of patients in emergency scenarios, which is why such assessments are paramount.