Practice Quiz

CCRN Critical Care Nursing

Category - Adult

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The nurse is taking care of a 48 year old woman who has suffered a closed head injury secondary to a motor vehicle accident. She has started to experience tonic-clonic seizures. Which nursing intervention is most appropriate for this patient?
  1. Pad the bedside rails.
  2. Ensure that someone is with the patient at all times.
  3. Have the equipment for oxygen and suction at the bedside.
  4. Place a padded tongue blade on the bedside table.
Explanation
Answer: C - The most appropriate nursing intervention for the patient who has suffered a closed head injury and tonic-clonic seizures is to have oxygen and suction at the bedside. Maintaining the airway is always critically important.
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