A patient is having a generalized tonic-clonic seizure in the ward. Which action should the nurse take first?
Correct answer: C. Clear nearby objects and protect the head
- A. Restrain the arms to prevent fractures
- B. Insert a tongue blade between the teeth
- C. Clear nearby objects and protect the head
- D. Offer water immediately after the jerking begins
Explanation
The first priority during a seizure is safety and prevention of injury. The nurse should not restrain the patient or put anything in the mouth because these actions can cause trauma or airway obstruction.
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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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