The nurse is providing care for a patient diagnosed with a stroke resulting in language disorder. Which type of disorder does the nurse recognize if the patient raises an arm in response to the nurse's direction to stick out his tongue?

A. Educating the client on anticonvulsant medications is important, but it is not the priority during an active seizure. Education should be provided after the seizure has ended.

B. Monitoring vital signs is important but should not be the immediate priority during a seizure. The nurse should focus on airway management first.

C. Restraining the client is contraindicated during a seizure. Restraining can cause injury to both the client and the nurse. The focus should be on protecting the client from harm.

D. The prevention of occlusion of the airway or aspiration is the priority. During a tonic-clonic seizure, there is a risk of the client choking, biting their tongue, or having difficulty breathing. The nurse should ensure the airway is open, prevent aspiration, and protect the client from injury during the seizure.

A. Increased LOC (level of consciousness) and increased range of motion are not typical symptoms of increased intracranial pressure (ICP). In fact, ICP usually leads to a decreased level of consciousness, not an increase.

B. Restlessness, irritability, and decreased LOC are early signs of increased intracranial pressure. As pressure inside the skull rises, the brain becomes less able to function normally, leading to changes in behavior and cognition, such as restlessness and irritability, followed by a decrease in consciousness.

C. Pain in the calf and neck is not a typical symptom of ICP. While neck pain may occur with certain neurological conditions, it is not a hallmark of increased intracranial pressure.

D. Fever and chills are not initial symptoms of ICP. These symptoms are more indicative of infection, such as meningitis, rather than increased intracranial pressure.