A 25-year-old patient with a history of epilepsy is brought to the emergency department after experiencing a generalized tonic-clonic seizure. Which of the following is the most appropriate initial action by the nurse?
Apply soft restraints to prevent injury during the seizure.
Administer intravenous lorazepam.
Obtain a detailed seizure history from the family.
Ensure the patient's airway is open and position them on their side.
The Correct Answer is D
A. Applying soft restraints during a seizure could increase the risk of injury and is not recommended.
B. Administering lorazepam is often necessary in seizures, but the priority during a seizure is ensuring the airway is open and the patient is in a safe position.
C. Obtaining a seizure history is important but should be done after managing the acute situation.
D. The priority during a seizure is to ensure the patient's airway is open and to position them on their side to prevent aspiration and facilitate breathing.
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Related Questions
Correct Answer is D
Explanation
A. Documenting the seizure activity is important but should be done after addressing immediate needs.
B. Checking the patient's vital signs is important but is secondary to positioning the patient safely to prevent aspiration.
C. Administering oral antiepileptic medication is necessary but not the first action following a tonic- clonic seizure.
D. Placing the patient in a side-lying position immediately after the seizure ensures that the airway remains open and reduces the risk of aspiration.
Correct Answer is ["A","C","E"]
Explanation
A. Hirsutism (excessive hair growth) can occur due to corticosteroid use, as they can increase the production of androgens.
B. Bladder spasms are not typically associated with corticosteroid use but may occur with multiple sclerosis itself.
C. Hyperglycemia is a common side effect of corticosteroids, as they can impair insulin sensitivity.
D. Corticosteroids typically cause hypertension, not hypotension, as a side effect.
E. Delayed wound healing is a well-known side effect of corticosteroid therapy, as steroids can suppress immune function.
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