Asked by Stephanie Viera on May 31, 2024

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The nurse in the intensive care unit enters her patient's room and observes the patient is experiencing a seizure.What are the most appropriate interventions by the nurse? Select all that apply.

A) Insert a padded tongue depressor in the patient's mouth.
B) Turn the patient to his side.
C) Restrain the patient to control his jerking movements.
D) Loosen any restrictive clothing.
E) Pad the siderails of the patient's bed.

Seizure

A sudden, uncontrolled electrical disturbance in the brain that can cause changes in behavior, movements, feelings, and levels of consciousness.

Padded Tongue Depressor

A tool used in medical settings, featuring padding to gently depress the tongue for better examination of the mouth and throat.

Restrictive Clothing

Garments that are tight enough to limit the range of motion or cause discomfort.

  • Pinpoint factors that prompt seizures and the corresponding nursing responses for individuals experiencing them.
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Abdulaziz MohammadMay 31, 2024
Final Answer :
B,D,E
Explanation :
When a seizure is occurring,the nurse would turn the patient to his side to prevent aspiration and loosen any restrictive clothing; also pad the head,foot,and siderails of the bed and place oral suction at the bedside.Do not try to open the mouth and insert a tongue depressor.This action could result in injury to the patient or injury to the nurse (biting).Also do not attempt to restrain the patient,as this may result in muscle and joint injury.