The nurse identifies the diagnosis Risk for Injury as appropriate for a client with a seizure disorder. Based on this diagnosis, which nursing interventions are appropriate when this client experiences a seizure? Select all that apply.

Question

Quizplus · Accepted Answer

A)The nurse should stay with the client and call for assistance, if needed. If possible, the client should be turned onto the lateral position, not supine, to allow for any secretions to drain out of the mouth. Research has found that more injury can occur to the client if the caregiver tries to place something in the mouth during the seizure than if the caregiver does not. A client should never be restrained during a seizure.
B)The nurse should stay with the client and call for assistance, if needed. If possible, the client should be turned onto the lateral position, not supine, to allow for any secretions to drain out of the mouth. Research has found that more injury can occur to the client if the caregiver tries to place something in the mouth during the seizure than if the caregiver does not. A client should never be restrained during a seizure.
C)The nurse should stay with the client and call for assistance, if needed. If possible, the client should be turned onto the lateral position, not supine, to allow for any secretions to drain out of the mouth. Research has found that more injury can occur to the client if the caregiver tries to place something in the mouth during the seizure than if the caregiver does not. A client should never be restrained during a seizure.
D)The nurse should stay with the client and call for assistance, if needed. If possible, the client should be turned onto the lateral position, not supine, to allow for any secretions to drain out of the mouth. Research has found that more injury can occur to the client if the caregiver tries to place something in the mouth during the seizure than if the caregiver does not. A client should never be restrained during a seizure.
E)The nurse should stay with the client and call for assistance, if needed. If possible, the client should be turned onto the lateral position, not supine, to allow for any secretions to drain out of the mouth. Research has found that more injury can occur to the client if the caregiver tries to place something in the mouth during the seizure than if the caregiver does not. A client should never be restrained during a seizure.

The Nurse Identifies the Diagnosis Risk for Injury as Appropriate