nclex question ..pls help

kemifair · Mar 6, 2013

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[TD]As the nurse enters the room of a newly admitted primigravid client diagnosed with severe preeclampsia, the client begins to experience a seizure. The nurse should do which in order of priority from first to last?[/TD]
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[TD]correct ans:[/TD]
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[TD]Call for immediate assistance.
Turn the client to her side.
Maintain airway.
Assess for ruptured membranes.[/TD]
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[TD]if im goin to answer this using abc..should the ans be maintain airway first,i saw the same question on the other reviewer except the situation is the client is choking & the ans is maintain airway first..im confused[/TD]
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Airway is always priority, lft side. Call for assistance then assess for ROM. You have to get the baby out STAT.

CYoungLPN, LPN · Mar 7, 2013

[TABLE=width: 100%]
[TR]
[TD=width: 200]
[/TD]
[TD]As the nurse enters the room of a newly admitted primigravid client diagnosed with severe preeclampsia, the client begins to experience a seizure. The nurse should do which in order of priority from first to last?[/TD]
[/TR]
[TR]
[TD][/TD]
[TD]
[/TD]
[/TR]
[TR]
[TD] [/TD]
[TD]correct ans:[/TD]
[/TR]
[TR]
[TD][/TD]
[TD]Call for immediate assistance.
Turn the client to her side.
Maintain airway.
Assess for ruptured membranes.[/TD]
[/TR]
[TR]
[TD][/TD]
[TD]if im goin to answer this using abc..should the ans be maintain airway first,i saw the same question on the other reviewer except the situation is the client is choking & the ans is maintain airway first..im confused[/TD]
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Airway isn't always the priority the priority in this question is getting someone there to help then turning her on her side she is seizing afterall

nalaa83 · Mar 7, 2013

[TABLE=width: 100%]
[TR]
[TD=width: 200][/TD]
[TD]As the nurse enters the room of a newly admitted primigravid client diagnosed with severe preeclampsia, the client begins to experience a seizure. The nurse should do which in order of priority from first to last?[/TD]
[/TR]
[TR]
[TD][/TD]
[TD][COLOR=red]
[/TD]
[/TR]
[TR]
[TD][/TD]
[TD]correct ans:[/TD]
[/TR]
[TR]
[TD][/TD]
[TD][COLOR=green]Call for immediate assistance.
Turn the client to her side.
Maintain airway.
Assess for ruptured membranes.[/TD]
[/TR]
[TR]
[TD][/TD]
[TD]if im goin to answer this using abc..should the ans be maintain airway first,i saw the same question on the other reviewer except the situation is the client is choking & the ans is maintain airway first..im confused[/TD]
[/TR]
[/TABLE]

Due to the fact that she is seizing you do not want to put anything in her mouth the first thing you would do is turn her to the side that the priority.

Becca1145 · Mar 7, 2013

actually CYoungLPN is correct. you call for help, then ensure open airway, and then turn to side. its in the saunders book.

PeppermintP · Mar 7, 2013

This is a good nclex question! I picked airway too but now that I read what others put I agree! Turn to the left side

californiaboy · Mar 7, 2013

For me it's to turn the pt to the side first,

Then maintain airway

2bRNmomoffour · Mar 7, 2013

thanks guys..im still confused tho

St_Claire, ADN, RN · Mar 8, 2013

Safety first, always. Turn a seizing patient to their side, this helps with airway as well. Call for help, assess for ruptured membranes.

At this point the baby needs to be delivered ASAP.