This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient is having a tonicclonic seizure. During the seizure, the priority for nursing care is to ... (Read 95 times)

Lisaclaire

  • Hero Member
  • *****
  • Posts: 569
on: Jun 25, 2018
A patient is having a tonicclonic seizure. During the seizure, the priority for nursing care is to
 
  1. protect the patient from injury.
  2. insert a bite block to prevent the patient from swallowing his or her tongue.
  3. ask the staff to hold the patient tightly.
  4. obtain vital signs.

Question 2

Following a fall, a patient is brought to the emergency department. There was a brief loss of consciousness. The patient complains of headache, has vomited twice, has a dilated pupil on the same side as a hematoma over the temporal area,
 
  and is currently having a seizure. What should the nurse anticipate regarding the care of this patient?
 
  1. This is an emergency situation that is likely due to an epidural hematoma and requires surgery.
  2. This is a controlled situation once the seizure stops.
  3. This is a serious situation in which a subdural hematoma is developing and requires surgery.
  4. This is a typical situation seen with most patients who fall and will subside with observation.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

lgoldst9

  • Sr. Member
  • ****
  • Posts: 372
Reply #1 on: Jun 25, 2018
Answer to Question 1

Correct Answer: 1
Because of the lack of warning with tonicclonic seizures, head injury, fractures, burns, or motor vehicle crashes may occur secondarily to seizure activity. A bite block is not needed and may injure the patient with forced insertion. The movements of the patient should not be restrained because this can cause injury. The vital signs cannot be measured during a tonicclonic seizure.

Answer to Question 2

Correct Answer: 1
Classic signs of an epidural hematoma include a loss of consciousness followed by a brief lucid period before rapid deterioration. Because this injury involves a skull fracture that tears an artery, the patient is bleeding uncontrollably into the head. Increased intracranial pressure and herniation will occur without prompt and timely intervention. A subdural hematoma would be manifested by drowsiness, confusion, and enlargement of the ipsilateral pupil within minutes of the injury. Hemiparesis and changes in respiratory pattern may soon follow. This patient will require immediate intervention and not simply observation.


Lisaclaire

  • Member
  • Posts: 569
Reply 2 on: Jun 25, 2018
Gracias!

CAPTAINAMERICA

  • Member
  • Posts: 325
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Always store hazardous household chemicals in their original containers out of reach of children. These include bleach, paint, strippers and products containing turpentine, garden chemicals, oven cleaners, fondue fuels, nail polish, and nail polish remover.

Did you know?

It is important to read food labels and choose foods with low cholesterol and saturated trans fat. You should limit saturated fat to no higher than 6% of daily calories.

Did you know?

Cocaine was isolated in 1860 and first used as a local anesthetic in 1884. Its first clinical use was by Sigmund Freud to wean a patient from morphine addiction. The fictional character Sherlock Holmes was supposed to be addicted to cocaine by injection.

Did you know?

In the United States, congenital cytomegalovirus causes one child to become disabled almost every hour. CMV is the leading preventable viral cause of development disability in newborns. These disabilities include hearing or vision loss, and cerebral palsy.

Photograph of an occupational therapist assisting a patient with learning independence in activities Photograph of an occupational therapist assisting a patient with learning independence in activities
Developing a two part nursing diagnostic label Developing a two part nursing diagnostic label
Increasing access to care for teen mothers is important because they have a higher rate of pregnancy ... Increasing access to care for teen mothers is important because they have a higher rate of pregnancy ...
Patient Teaching Methods Cont. Patient Teaching Methods Cont.
ROM exercises on a patient’s wrist: extension. ROM exercises on a patient’s wrist: extension.
Hepatitis B antigens and antibody in an acutely infected patient with recovery. Note the indicators ... Hepatitis B antigens and antibody in an acutely infected patient with recovery. Note the indicators ...
Video: Otitis Media

For a complete list of videos, visit our video library