Author Question: What is included in the nursing management of the patient with generalized tonic-clonic seizure ... (Read 14 times)

tiffannnnyyyyyy · **on:** Jul 24, 2018

What is included in the nursing management of the patient with generalized tonic-clonic seizure activity? (Select all that apply.)

a. Restraining the patient's arms to avoid further injury
b. Placing padding around or under the patient's head
c. Attempting to insert a tongue depressor into the patient's mouth
d. Positioning the patient on the side once the relaxation stage is entered to allow oral secretions to drain
e. Requesting additional assistance and/or necessary equipment in case the patient does not begin breathing spontaneously when the seizure is over

Question 2

The nurse is providing education to a patient recently prescribed pregabalin (Lyrica). Which statement by the patient indicates a need for further instruction?

a. I may feel tired at first, but this should improve with continued use.
b. Once my pain improves, I will stop taking this medication.
c. Taking sleeping aids will increase the sedative effect of this medication.
d. This drug may affect my mental alertness, so I need to be careful around machinery.

Viet Thy · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: B, D, E
Managing a patient during a seizure includes protecting the patient from further injury, (placing padding around or under the head to help prevent head injury), positioning the patient in the recovery position to facilitate respiratory effort, clearing the airway, and initiating ventilations should the patient lack spontaneous respirations after seizure. Restraining a patient who is having a seizure can cause, rather than prevent, injury. Inserting anything into the mouth of someone who is having a seizure can cause injury.

Answer to Question 2

ANS: B
When discontinuing therapy, taper over at least 1 week to minimize the potential for withdrawal symptoms. Drowsiness tends to disappear with continued use of the medication. Sleeping aids enhance the sedative effects of pregabalin. Pregabalin causes sedation, so people who work around machinery, drive a car, or perform other duties in which they must remain mentally alert should be particularly cautious.