Question 4 of 28

Which action would the nurse take when a client is observed during rounds to be experiencing a tonic-clonic seizure? Select all that apply. One, some, or all responses may be correct.

A. Hyperextend the client's neck

B. Move obstacles away from the client

C. Restrain the client's body movements

D. Attempt to place an airway in the client's mouth

Question

24-07-2024
Medicine

Answered

Question 4 of 28

Which action would the nurse take when a client is observed during rounds to be experiencing a tonic-clonic seizure? Select all that apply. One, some, or all responses may be correct.

A. Hyperextend the client's neck

B. Move obstacles away from the client

C. Restrain the client's body movements

D. Attempt to place an airway in the client's mouth

Answer :

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Final answer:

When a client experiences a tonic-clonic seizure, the nurse should move obstacles away, avoid hyperextending the neck, and not restrain the client's body movements.

Explanation:

Tonic-clonic seizures, formerly known as grand mal seizures, are characterized by sudden loss of consciousness accompanied by muscle contractions. When a client is observed experiencing a tonic-clonic seizure, the nurse should:

Move obstacles away from the client to prevent injury during the convulsions.
Do not hyperextend the client's neck, as it can cause harm.
Refrain from restraining the client's body movements as it can further exacerbate the situation.
Avoid attempting to place an airway in the client's mouth during the seizure.

Learn more about tonic-clonic seizures here:

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