Nursing Seizure Precautions Quiz

Questions and Answers

A client with a seizure disorder is being admitted to the hospital. Which should the nurse plan to implement for this client? (Select all that apply)

Pad the bed's side rails (correct)

Place an airway at the bedside (correct)

Place oxygen equipment at the bedside (correct)

Tape a padded tongue blade to the wall at the head of the bed

Place suction equipment at the bedside (correct)

Which change in vital signs would occur if increased intracranial pressure (ICP) is rising?

Increasing temperature, increasing pulse, increasing respirations, decreasing BP

Decreasing temperature, increasing pulse, decreasing respirations, increasing BP

Increasing temperature, decreasing pulse, decreasing respirations, increasing BP (correct)

Decreasing temperature, decreasing pulse, increasing respirations, decreasing BP

Which position would require intervention by the nurse for a client with increased intracranial pressure (ICP)?

Head turned to the side (correct)

Head midline

Head of bed elevated 30 to 45 degrees

Neck in neutral position

Study Notes

Seizure Precautions

Implement padded side rails to prevent injury during seizures.
Maintain an airway at the bedside to ensure airway patency if needed.
Have oxygen equipment nearby for potential respiratory needs during a seizure.
Place suction equipment at the bedside to clear secretions if the patient becomes unable to do so.

Intracranial Pressure (ICP) Changes

Increased ICP may show distinct vital sign trends: increased temperature, increased blood pressure, decreased pulse, and decreased respirations.
Changes in vital signs are often late indicators of rising ICP.

Positioning for Increased ICP

Proper positioning is crucial; head should be in a neutral, midline position.
Avoid head turning to the side, which can increase ICP.
Elevate the head of the bed to 30 to 45 degrees to enhance venous drainage from the cranium.

ICP Management Understanding

A patient recovering from a head injury demonstrates understanding of ICP prevention by exhaling during repositioning.
Activities that increase ICP, such as blowing the nose, isometric exercises, and vigorous coughing, should be avoided.

Description

Test your knowledge on essential seizure precautions for clients with seizure disorders. This quiz covers crucial nursing interventions to ensure safety during episodes. Select all appropriate actions for effective patient care.