A nurse is implementing seizure precautions for a client who has a seizure disorder.
Which of the following equipment should the nurse place at the client’s bedside? (Select all that apply.).
A.
Limb restraints.
B.
Blood glucose monitor.
C.
Oral airway.
D.
Supplemental oxygen supplies.
E.
Oral suction equipment.
The correct answer and Explanation is :
For a client with a seizure disorder, the nurse should prioritize the following equipment at the bedside:
C. Oral airway
D. Supplemental oxygen supplies
E. Oral suction equipment
Explanation:
1. Oral Airway:
An oral airway is crucial in managing seizures as it helps keep the airway open. During a seizure, muscle contractions can cause the tongue to fall back, potentially obstructing the airway. An oral airway can prevent this obstruction and facilitate ventilation.
2. Supplemental Oxygen Supplies:
Supplemental oxygen might be needed if the client experiences difficulty breathing or if the seizure leads to hypoxia (low oxygen levels). Having oxygen available ensures that the client can receive immediate respiratory support if required.
3. Oral Suction Equipment:
Oral suction equipment is important for clearing the mouth of secretions or vomit, which can occur during or after a seizure. This prevents aspiration and ensures that the airway remains clear.
Equipment Not Recommended:
A. Limb Restraints:
Limb restraints are not recommended for seizure precautions. Restraining a patient during a seizure can lead to injury, as the patient may thrash or move uncontrollably. Instead, the focus should be on ensuring a safe environment and providing supportive care.
B. Blood Glucose Monitor:
While monitoring blood glucose levels can be important for some conditions associated with seizures (like hypoglycemia), it is not a standard piece of equipment to keep at the bedside specifically for seizure precautions. It would be used if there’s a known issue with blood glucose levels that might trigger or be affected by seizures.
The goal during a seizure is to maintain safety and support the client’s immediate needs while avoiding any actions that could cause harm.