More Questions on this Topic
More Questions on this Topic ( 35 Questions)
A nurse is caring for a client with eclampsia who is having a tonic-clonic seizure.
Which action should the nurse take first?
Administering oxygen via face mask is not the first priority and may not be feasible during a seizure. Oxygen therapy may be indicated after the seizure to improve oxygenation and fetal well-being.
This is because turning the client to the side will prevent aspiration of secretions or vomitus and maintain a patent airway during a seizure.
This is the most important and immediate action to take for a client with eclampsia who is having a tonic-clonic seizure.
Inserting an oral airway is contraindicated during a seizure as it may cause injury to the oral mucosa or trigger a gag reflex. An oral airway may be used after the seizure if the client is unconscious and has a compromised airway.
Giving a loading dose of magnesium sulfate is not the first action to take, although it is an important intervention to prevent further seizures and lower blood pressure in eclampsia. Magnesium sulfate should be administered intravenously after securing the airway and ensuring adequate ventilation.
Turn the client to the side. This is because turning the client to the side will prevent aspiration of secretions or vomitus and maintain a patent airway during a seizure.
This is the most important and immediate action to take for a client with eclampsia who is having a tonic-clonic seizure.
Choice A is wrong because administering oxygen via face mask is not the first priority and may not be feasible during a seizure. Oxygen therapy may be indicated after the seizure to improve oxygenation and fetal well-being.
Choice C is wrong because inserting an oral airway is contraindicated during a seizure as it may cause injury to the oral mucosa or trigger a gag reflex. An oral airway may be used after the seizure if the client is unconscious and has a compromised airway.
Choice D is wrong because giving a loading dose of magnesium sulfate is not the first action to take, although it is an important intervention to prevent further seizures and lower blood pressure in eclampsia. Magnesium sulfate should be administered intravenously after securing the airway and ensuring adequate ventilation.