A client arrives at the emergency room experiencing status epilepticus. Which of the following interventions should the nurse anticipate performing first for this client?

Choice A reason:

Placing the patient in a lateral position (recovery position) is critical to maintain an open airway and prevent aspiration, especially in a client who is not responding to verbal stimuli. This position helps ensure that the airway remains clear and reduces the risk of aspiration if the client vomits.

Choice B reason:

Applying a warm blanket is important for maintaining the client’s body temperature but is not the immediate priority when the client is unresponsive. Ensuring airway patency takes precedence.

Choice C reason:

Comparing and contrasting peripheral pulses is part of the assessment process but is not the first priority. Ensuring the client's airway and breathing are secure is more urgent.

Choice D reason:

Assessing dressings is necessary to monitor for bleeding or other complications but is not as immediate as ensuring the client’s airway is clear and protected.

Choice A reason: Having a small snack and taking a bath before bed can be part of a relaxing bedtime routine that promotes better sleep. This statement does not indicate a misunderstanding of healthful sleep habits.

Choice B reason: Maintaining a consistent sleep schedule by going to bed and waking up at the same time each day is a key component of good sleep hygiene. This statement demonstrates a correct understanding of sleep habits.

Choice C reason: This is the correct answer. Watching television until falling asleep is generally not recommended, as the light and stimulation from the TV can interfere with the natural sleep cycle and make it harder to fall asleep and stay asleep.

Choice D reason: Avoiding naps throughout the day can help ensure better sleep quality at night. This statement aligns with good sleep hygiene practices, indicating the client understands how to maintain healthy sleep patterns.