Adult Nurse Practitioner Exam Prep

Category - AANPCP Adult Nurse Practioner Practice Test

A 27 year old man had a tonic-clonic seizure and fell down. While admitted, the patient had a recurrent episode of seizure. Which of the following is a priority during this event?
  1. Diazepam at bedside
  2. Oxygen at bedside
  3. Tongue depressor at bedside
  4. Restrain immediately
Explanation
Answer - B - Grand-mal seizure, or tonic-clonic seizure, is characterized by sudden tensing of muscles (tonic) and rapid contraction and relaxation of the muscles (clonic). During this episode, the patient shouldn’t be restrained and the seizure should be allowed to run its course. No object should be inserted in the mouth, as this can cause choking. Apnea commonly occurs during or after the seizure, therefore, it is important to have oxygen at bedside and keep the airway open.
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