A 72-year-old male with a history of depressed thyroid function and a brain tumor is suffering a psychomotor seizure. As you enter the room, you find him to be standing up and walking in a circle. He is awake but does not respond to your questions. Family members state that he has had three similar episodes over the past six months, which his physician diagnosed as complex partial seizures. Vital signs are pulse 112, respirations 16, blood pressure 166/68, and SpO₂ at 98%. Which one of the following actions would be most appropriate in the care of this patient?

Question

Quizplus · Accepted Answer

The patient is experiencing a known seizure disorder and his vital signs are stable. Therefore, a nonemergency transport to a medical facility is the most appropriate action, where the patient can be evaluated and treated by medical professionals. Restraint is not necessary, and oxygen is not indicated unless there is a decrease in oxygen saturation. Inserting an airway is also not necessary as the patient is currently breathing adequately. Determining the presence of a durable power of attorney may be important in the long term, but is not urgent in this immediate situation.

A 72-Year-Old Male with a History of Depressed Thyroid Function