The nurse gives discharge instructions to a client who sustained a brain injury from a motor vehicle accident. His wife is concerned regarding her husband having seizures at home. Which statement from the wife indicates that she understood the nurse’s teaching?
The nurse gives discharge instructions to a client who sustained a brain injury from a motor vehicle accident. His wife is concerned regarding her husband having seizures at home. Which statement from the wife indicates that she understood the nurse’s teaching?
A. “I will make sure that my husband does not wet himself.”
[1%]
B. “I will clear all furniture that might injure him when he has a seizure.”
[84%]
C. “I will call 911 once he has a seizure lasting about 3 minutes.”
[14%]
D. “I will ensure he sleeps well after a seizure.”
[1%]
Statistics
Subject/Lesson
Subject
Adult Health
Lesson
Neurologic
Client Need
Test Plan
Reduction of Risk Potential
Related Topic
Potential for Alterations in Body Systems
Item Type
Item Type
Application
Explanation
Choice B is correct. One of the major goals during a seizure is injury prevention. Caregivers should be taught about injury prevention precautions. The wife should ensure that the furniture is moved out of the way when her husband seizes, improving his safety.
Choice A is incorrect. There is a chance for the client to urinate while having a seizure. However, the wife does not have any control over his urinary incontinence unless the client wears incontinence aids. The priority should be placed on injury prevention, not urinary incontinence.
Choice C is incorrect. Self-limiting seizures are not life-threatening. The wife need not call 911 unless the seizure lasts longer than 5 minutes. Status Epilepticus is defined as a single seizure lasting more than five minutes or two or more seizures occurring within a five-minute period without the person returning to normal between them. The wife should be educated that status epilepticus is a medical emergency and she should seek help if such an event occurs.
Choice D is incorrect. It is essential that the client rests after his seizure. However, the caregiver’s priority concern among the given options is injury prevention.
Related Videos
2 Key Topics
Seizure Precautions
8.4 Specialized Safety Measures
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