Nursing Interventions and Tips on How to Answer Nursing exam questions on Seizure Precautions

					Nursing Interventions and Tips on How to Answer Nursing
exam questions on Seizure Precautions
Instructions
   Step 1

      First interview the client

      Its important to get certain information from the client that will help the
      nurse take better care of the client. Information like seizure history, how
      often the seizures occur, if there is an aura before a seizure, medical
      conditions that may lead to seizures or exacerbate their condition and what
      medication they are taking.

   Step 2
      Check the client’s area for potential safety hazards

      Look around the area for anything that could hurt the client if they happen
      to start seizing. After this, prep the area with seizure precautions. Pad the
      rails and head board with blankets, put the bed in the lowest position and
      position the client on their side if possible. Their attire should be loose,
      with a pillow under their head and the side rails up. ( not all the side rails
      should be up: that would be forced imprisonment)

   Step 3
      Keep airway equipment close

      A patent airway is important, if the client happens to start seizing. If the
      client has a history of seizures, then an airway, suction equipment and
      pillows should be in the room so that if there is a need for them, they can
      be reached immediately.

   Step 4

      What to do during a seizure

      If a client starts seizing, the first priority is to make sure they don’t get hurt
      by anything in the environment. So first of all ease them to the floor and
      clear the area. Don’t restrain the client or force anything into their mouth,
      it could stimulate the gag reflex and may lead to aspiration. Stay with the
      client and observe the sequence in which the seizure occurs and the timing
      of it ( how long it lasts)
   Step 5
   Know when it is an emergency

   Status epiliepticus (continuous seizure) is a medical emergency so for this
   one, the physician will need to be notified.

Step 6

   Know what to document

   The following should be documented:

   * How long the seizure lasted and the sequence of events that occurred
   * IF any aura was present
   * Level of consciousness
   * Posture, color, incontinence
   * Movement of extremities and
   * Pattern of sleep after the seizure