Practice Question
A nurse is reinforcing discharge teaching to a client who has epilepsy. Which of the following instructions should be included in the teaching?
Answer Choices:
Correct Answer:
Placing padding around or under the patient's head
Rationale:
✿ Placing padding around or under the patient's head
🔸 Padding helps protect the patient from head trauma during convulsions.
🔸It cushions any sudden impact if the client falls.
🔸This is a simple yet vital action to reduce seizure-related injuries.
✿ Positioning the patient on the side once the relaxation stage is entered
🔸 Turning the client to their side promotes airway clearance and prevents aspiration.
🔸This is especially important if the client vomits or has oral secretions.
🔸 It supports safer breathing and recovery post-seizure.
✿ Having equipment or personnel ready if the patient doesn't breathe
🔸 It is essential to anticipate postictal respiratory arrest, especially in prolonged seizures.
🔸Having suction, oxygen, or emergency staff on hand ensures prompt intervention.
🔸 This helps prevent complications or hypoxic injury.
✿ Noting the time the seizure started
🔸 Knowing when the seizure began helps determine if it meets criteria for status epilepticus (lasting >5 minutes).
🔸Accurate timing is essential for clinical documentation and response planning.
🔸This also aids in medication evaluation.
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This question is from ATI LPN Medsurg~Neuro Exam which contains 44 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 5