Question

A male client with a brain tumor is scheduled for a biopsy in the morning. During the admission procedure, the client has a tonic clonic seizure that last 50 seconds. following the seizure, the client is lethargic and confused and his wife tells the nurse that her husband has never had a seizure before it has always been alert and communicative. Which action should the nurse take?

A).Notify the Emergency Response Team of the clients seizure.
B).Ask the wife to wait outside the room until the nurse can talk with her.
C).Explain the postictal state that usually follows seizures.
D).Keep orienting the client to time and space until he is less confused.

Answer 1

The nurse should explain the postictal state that usually follows seizures to the patient's wife.

Step-by-step explanation:

The nurse should take action C) Explain the postictal state that usually follows seizures.

The patient's seizure and subsequent lethargy and confusion indicate that he has experienced a tonic-clonic seizure. It is important for the nurse to notify the emergency response team of the seizure and provide them with all the necessary information. However, explaining the postictal state to the patient's wife is also essential to help her understand the changes in her husband's behavior and assure her that it is a normal part of the seizure episode.

During the postictal state, which occurs after a seizure, the patient may experience confusion, drowsiness, and disorientation. These symptoms can last for minutes to hours, and it is important for the nurse to support the patient and his family during this time.