Author Question: What is the nurse's priority intervention for a patient experiencing a tonic-clonic (grand mal) ... (Read 33 times)

javeds · **on:** Jul 23, 2018

What is the nurse's priority intervention for a patient experiencing a tonic-clonic (grand mal) seizure?

a. Place a padded tongue blade in the patient's mouth to prevent biting the tongue.
b. Start a saline lock to administer IV anti-seizure medication.
c. Attach pads to the bed side rails to protect the patient from injury.
d. Monitor for and keep the patient's airway open.

Question 2

Which food, drink, or herbal supplement does the nurse warn a patient who is prescribed any of the azole class of antifungal drugs to avoid?

a. Caffeinated beverages
b. Grapefruit juice
c. St. John's wort
d. Dairy products

s.meritte · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
The priorities for care of a patient experiencing a seizure include maintaining an airway and pro-viding for safety during the seizure. Forcing a padded tongue blade into a patient's mouth can damage teeth and lead to aspiration of tooth fragments. Padded side rails are controversial be-cause it is not known if they help maintain safety; they may cause embarrassment to the patient. During a seizure is not the time to place a saline lock.

Answer to Question 2

B
The activity of azole antifungal drugs can be reduced by grapefruit juice in large quantities. Pa-tients should not take an azole with grapefruit juice and should limit their total grapefruit juice intake to no more than 24 ounces per day.