Difficulty: Medium
Average Score: 67%
Simulated
A client is brought to the emergency department (ED) by a friend who states that the client recently ran out of his phenytoin (Dilantin) and has been having a grand mal seizure for the last 10 minutes. The nurse observes that the client is still seizing. The nurse should do the following in order of priority from first to last?
Correct answer
A,C,B,D
Rationale
First ensure safety with seizure pads, then prepare diazepam, record seizure details, and gather history.