A patient with alcohol dependence has a generalized tonic-clonic seizure in the emergency department. Which action should the nurse take first?
Correct answer: C. Protect the patient and maintain the airway after the seizure
- A. Insert a padded tongue blade between the teeth
- B. Restrain the arms and legs to stop movement
- C. Protect the patient and maintain the airway after the seizure
- D. Offer oral fluids immediately during the seizure
Explanation
The nurse protects the patient from injury, maintains airway safety, and turns the patient laterally when possible. Nothing should be inserted into the mouth, and physical restraint may cause injury.
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About Psychiatric Emergencies
Psychiatric emergencies include suicidal behavior, homicide risk, severe agitation, panic, acute psychosis, delirium, overdose, and withdrawal states. Students examine rapid risk assessment, crisis intervention, de-escalation, environmental safety, emergency medication, observation levels, and the immediate priorities that differ from routine psychiatric nursing care.
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