A 25-year-old patient with a history of epilepsy is brought to the emergency department after experiencing a generalized tonic-clonic seizure. Which of the following is the most appropriate initial action by the nurse?

Apply soft restraints to prevent injury during the seizure.

Administer intravenous lorazepam.

Obtain a detailed seizure history from the family.

Ensure the patient's airway is open and position them on their side.

Answer and Explanation

The Correct Answer is D

A.   Applying soft restraints during a seizure could increase the risk of injury and is not recommended.
B.   Administering lorazepam is often necessary in seizures, but the priority during a seizure is ensuring the airway is open and the patient is in a safe position.
C.   Obtaining a seizure history is important but should be done after managing the acute situation.
D.   The priority during a seizure is to ensure the patient's airway is open and to position them on their side to prevent aspiration and facilitate breathing.

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Correct Answer is D

Explanation

A. Encouraging the patient to relax and breathe deeply does not address the immediate concerns of potential hemorrhage.
B. An abdominal ultrasound is not the first step in managing potential GI bleeding; stabilization is the priority.
C. Proton pump inhibitors are important for managing peptic ulcer disease, but the immediate priority is
stabilizing the patient’s condition.
D. Initiating IV access and administering fluids as prescribed is essential to stabilize the patient, manage shock, and address potential blood loss from gastrointestinal bleeding.

A. "Avoid using decongestants for seasonal allergies/colds due to their positive link to developing a peptic ulcer." B. "Avoid consuming undercooked foods. C. "Avoid using hormone replacement therapy as this can increase your risk for a peptic ulcer." D. "Avoid foods that have been fried."

Correct Answer is D

Explanation

A. Decongestants are not directly linked to the development of peptic ulcers and should not be avoided solely for this reason.
B. Undercooked foods may increase the risk for foodborne illness but are not a significant factor in the development of peptic ulcers.
C. Hormone replacement therapy is not a primary risk factor for peptic ulcers, though it may affect other aspects of gastrointestinal health.
D. Fried foods can irritate the stomach lining and exacerbate acid reflux, which could increase the risk of peptic ulcers, so it is advisable to avoid them.

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A 25-year-old patient with a history of epilepsy is brought to the emergency department after experiencing a generalized tonic-clonic seizure. Which of the following is the most appropriate initial action by the nurse?

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