A patient becomes unresponsive and has stopped convulsing after a generalized seizure. Which nursing action is the priority?
Correct answer: B. Place the patient in a side-lying position
- A. Offer sips of water
- B. Place the patient in a side-lying position
- C. Restrain the arms and legs
- D. Ask the patient to walk to the bed
Explanation
Side-lying positioning helps maintain airway drainage during the postictal period and supports the breathing priority. Oral fluids, restraint and walking are unsafe while consciousness and protective reflexes may be reduced.
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About Neurological Nursing
Covers nursing assessment and management of stroke, epilepsy, meningitis, raised intracranial pressure, head injury, spinal cord disorders, Parkinson disease and multiple sclerosis. Key areas include level of consciousness, pupil responses, motor and sensory findings, seizure precautions and distinguishing upper motor neuron from lower motor neuron signs.
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Medical Surgical Nursing is on 8 papers prepared for on TestUstad, and all of them draw the same bank, so this question is worth knowing for every one of them.
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