*NURSING > EXAM > HESI NCLEX TEST BANK 1ST EDITION BY PROF EDWARD;OVER 500 QUESTIONS AND ANSWERS FULLY SOLVED 100%;CRE (All)
HESI NCLEX TEST BANK 1ST EDITION BY PROF EDWARD;OVER 500 QUESTIONS AND ANSWERS FULLY SOLVED 100%;CREATED AUGUST18, 2024
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A client with a diagnosis of preeclampsia suddenly begins to exhibit seizure activity. The first action on the part of the nurse is: Calling the physician Inserting an oral airway Turning the clie... nt on her side Noting the time of the seizure - ------CORRECT ANSWER -----C If seizure activity occurs, the nurse remains with the client and presses the emergency bell for assistance. The client is turned on her side because a side-lying position permits greater circulation through the placenta and helps prevent aspiration. The nurse then notes the time and sequence of the seizure. The physician is notified that a seizure has occurred, because this is an obstetric emergency associated with cerebral hemorrhage, abruptio placentae, severe fetal hypoxia, and death. No object should be placed in the client's mouth during a seizure. An airway may be inserted after the seizure, and the client's mouth and nose are suctioned to prevent aspiration. Oxygen may be administered by way of face mask during the seizure to increase oxygenation of the placenta and all maternal organs. [Show More]
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