Acute Care Nurse Practitioner Exam Prep

Category - Acute Care Nurse Practioner Practice Test

What would not be a nursing intervention for the patient with tonic-clonic seizures?
  1. Restraining a patient during a seizure.
  2. Clear the area of hard objects.
  3. Turn the patient’s head or turn him on his side.
  4. Assist the patient to a lying position and loosen any tight clothing.
Explanation
Answer: A - Restraining a patient during a tonic-clonic seizure, would NOT be a nursing intervention. A tonic-clonic seizure is the classic type of seizure consisting of two phases; during the clonic phase the entire body becomes rigid and in the tonic phase, there is uncontrollable jerking. Clearing the area of hard objects, turning the patient to the side and helping them to a lying position (if standing) are all appropriate nursing actions to prevent injury and maintain a patent airway during a seizure.
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