A patient being treated for a traumatic brain injury for 3 days begins to seize.Which intervention is the nurse's priority?
A)Administer fosphenytoin (Cerebyx)4 mg per kg of patient body weight.
B)Keep the patient safe and maintain the airway.
C)Lower the head of the bed.
D)Initiate a recording of the patient's cardiac rhythm.

Question

Quizplus · Accepted Answer

Seizures pose a risk for airway obstruction, injury from falling, and aspiration. The priority for the nurse is to ensure the patient's safety and maintain a patent airway. Administering fosphenytoin may be necessary to treat the seizure, but it is not the priority intervention at this time. Lowering the head of the bed can cause cerebral hypoperfusion and is not recommended during a seizure. Recording the patient's cardiac rhythm may be important but is not the priority intervention during an active seizure.

A Patient Being Treated for a Traumatic Brain Injury for 3