A patient has continuous generalised convulsions lasting more than five minutes. Which nursing action is the priority?
Correct answer: C. Protect the airway and prepare the prescribed benzodiazepine
- A. Insert a padded tongue blade into the mouth
- B. Restrain the arms and legs to prevent injury
- C. Protect the airway and prepare the prescribed benzodiazepine
- D. Offer oral water after each convulsion stops
Explanation
Prolonged seizure activity threatens breathing and requires rapid anticonvulsant treatment, so airway protection and preparation of a prescribed benzodiazepine are priorities. Nothing should be placed in the mouth, and physical restraint may cause injury.
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About Critical Care and Emergency Nursing
Covers rapid assessment and stabilisation of patients with airway obstruction, respiratory failure, shock, cardiac arrest, sepsis, poisoning and major electrolyte disturbances. It includes triage, the ABCDE approach, cardiopulmonary resuscitation, ventilator and monitor care, emergency medicines and distinguishing life-threatening deterioration from stable illness.
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