Management of Care Q 31

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The patient with migraine headaches has a seizure. After the seizure, which action can you delegate to the nursing assistant?

  

     A. Document the seizure

     B. Perform neurologic checks

     C. Take the patient’s vital signs

     D. Restrain the patient for protection

    

    

Correct Answer: C. Take the patient’s vital signs.

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Taking vital signs is within the education and scope of practice for a nursing assistant.

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Option A: Documentation is one of the nursing responsibilities.

Option B: The nurse should perform neurologic checks.

Option D: Patients with seizures should not be restrained; however, the nurse may guide the patient’s movements as necessary. Focus: Delegation/supervision

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