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The nurse is developing a plan of care for a client who has epilepsy and is undergoing an electroencephalogram.

Which of the following should the nurse include in the client's plan of care? Select all that apply.

A. Provide padding to the side rails
B. Verify suction is at bedside and working properly
C. Keep bite block at bedside in case of seizure
D. Ensure nasal cannula is available and working at the bedside
E. Establish peripheral vascular access



Answer :

GinnyAnswer

Final answer:

The nurse should include padding to side rails, verify suction is at bedside, and ensure nasal cannula availability in the client's plan of care.


Explanation:

The nurse should include the following in the client's plan of care:

  1. A. Provide padding to the side rails to prevent injury during a seizure.
  2. B. Verify suction is at bedside and working properly to manage any secretions during or after a seizure.
  3. D. Ensure nasal cannula is available and working at the bedside to provide oxygen if needed post-seizure.

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