A nurse is caring for a 22-year-old individual with a known diagnosis of epilepsy. During the nurse’s shift, the patient begins to have a tonic-clonic seizure. During the active phase of the seizure, which of the following actions should the nurse take? Select all that apply. A. Place the patient on their back, remove dangerous objects from the immediate vicinity, and insert a padded tongue depressor. B. Place the patient in a lateral position (on their side), remove any hazardous objects nearby, and prepare to use a bite block if needed. C. Position the patient supine (on their back), clear the area of any items that might cause injury, and restrain their limbs gently. D. Turn the patient to a side-lying position, ensure the environment is safe from potential hazards, and use a pillow or a hand to protect the head. E. Keep the patient in a prone position, secure the perimeter for safety, and monitor their respiratory status closely. F. Roll the patient onto their side to prevent aspiration, remove objects that could cause harm, and observe for cessation of seizure activity

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter5: The Therapeutic Approach To The Patient With A Life-threatening Illness
Section: Chapter Questions
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A nurse is caring for a 22-year-old individual with a known diagnosis of epilepsy. During the nurse’s shift, the patient begins to have a tonic-clonic seizure. During the active phase of the seizure, which of the following actions should the nurse take? Select all that apply.
A. Place the patient on their back, remove dangerous objects from the immediate vicinity, and insert a padded tongue depressor.
B. Place the patient in a lateral position (on their side), remove any hazardous objects nearby, and prepare to use a bite block if needed.
C. Position the patient supine (on their back), clear the area of any items that might cause injury, and restrain their limbs gently.
D. Turn the patient to a side-lying position, ensure the environment is safe from potential hazards, and use a pillow or a hand to protect the head.
E. Keep the patient in a prone position, secure the perimeter for safety, and monitor their respiratory status closely.
F. Roll the patient onto their side to prevent aspiration, remove objects that could cause harm, and observe for cessation of seizure activity.
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