Safety and Infection Control Q 12

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Mike with epilepsy is having a seizure. During the active seizure phase, the nurse should:

  

     A. Place the client on his back, remove dangerous objects, and insert a bite block.

     B. Place the client on his side, remove dangerous objects, and insert a bite block.

     C. Place the client on his back, remove dangerous objects, and hold down his arms.

     D. Place the client on his side, remove dangerous objects, and protect his head.

    

    

Correct Answer: D. Place the client on his side, remove dangerous objects, and protect his head.

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During the active seizure phase, initiate precautions by placing the client on his side, removing dangerous objects, and protecting his head from injury.

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Option A: Do not insert anything on a client’s mouth during an active seizure because it may damage the teeth. Placing the client on his back may cause obstruction of the airway.

Option B: A bite block should never be inserted during the active seizure phase. Insertion can break the teeth and lead to aspiration.

Option C: The client should be placed in a side-lying position to facilitate drainage of secretions and prevent aspiration.

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