A head-injured patient is presenting with a generalized seizure. An appropriate nursing intervention during the seizure would include which of the following?

Loosen the patient's restrictive clothing.

Open the patient's jaws to insert an oral airway.

Restrain the patient to prevent injury.

Place patient in high-Fowler's position.

Answer and Explanation

The Correct Answer is A

A. Loosen the patient's restrictive clothing – This helps prevent airway obstruction and allows for better chest expansion during the seizure.

B. Open the patient’s jaws to insert an oral airway – Never attempt to force open the mouth during a seizure, as it can cause injury.

C. Restrain the patient to prevent injury – Restraining can cause further harm and should be avoided. Instead, clear the area around the patient to prevent injury.

D. Place patient in high-Fowler’s position – The patient should be placed in a side-lying position to prevent aspiration, not high-Fowler’s.

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Correct Answer is A

Explanation

A. Correct. Moving objects prevents injury during a seizure.

B. Incorrect. The patient should be placed on their side to maintain airway patency.

C. Incorrect. Restraining the patient can cause injury.

D. Incorrect. Never insert anything into a seizing patient’s mouth, as it can obstruct the airway or break teeth.

A. Obtain a prescription for supplemental oxygen. B. Obtain a prescription to administer intravenous fluids. C. Obtain a prescription to administer insulin. D. Obtain a prescription to check the patient's glucose level.

Correct Answer is A

Explanation

A. Obtain a prescription for supplemental oxygen. – Correct Answer. Hypoxia must be corrected first to prevent tissue hypoxia and organ failure.

B. Obtain a prescription to administer intravenous fluids. – Incorrect. IV fluids are important but oxygenation is the priority.

C. Obtain a prescription to administer insulin. – Incorrect. Insulin corrects hyperglycemia but is not the first priority over oxygenation.

D. Obtain a prescription to check the patient’s glucose level. – Incorrect. While glucose monitoring is essential, treating hypoxia takes priority.

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A head-injured patient is presenting with a generalized seizure. An appropriate nursing intervention during the seizure would include which of the following?

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