A client is experiencing status epilepticus. The nurse should: ...

[segrsyd]

A client is experiencing status epilepticus. The nurse should:
 
  a. turn the client on the back and insert a tongue blade in the mouth.
  b. ensure a patent airway and protect the client's head and body from injury.
  c. move the client to a bed and restrain the extremities.
  d. raise all side rails and restrain the extremities.

Question 2

The nurse recognizes a generalized tonic-clonic seizure by the client exhibiting what characteristics?
 
  a. rigidity with muscle jerks, temporal apnea, possible loss of bowel and bladder control.
  b. staring, fluttering eyes, no loss of consciousness.
  c. blank stare followed by random activity; automatism may be present.
  d. jerking of one arm, leg, or the face, with altered sense of taste and smell.

[Jane]

Answer to Question 1

ANS: B

Feedback
A Incorrect: Nothing should be inserted in the client's mouth after a seizure has begun.
B Correct: These are the nurse's priorities.
C Incorrect: The client should only be moved to protect them from the environment, but the client should not be restrained.
D Incorrect: As noted previously, the client should not be restrained. The side rails should be padded.

Answer to Question 2

ANS: A

Feedback
A Correct: These are characteristics of a generalized tonic-clonic seizure.
B Incorrect: These are characteristics of an absence seizure.
C Incorrect: These are characteristics of a complex partial seizure.
D Incorrect: These are characteristics of a simple partial seizure.

[segrsyd]

Thanks

[Jane]

Welcome