Question

A nurse is caring for a school-age child who has experienced a tonic-clonic seizure: True/ False Which of the following actions should the nurse take during the immediate postictal period?

a) Place the child in a side-lying position: True/ False
b) Delay documentation until the child is fully alert: True/ False
c) Give the child a high-carbohydrate snack: True/ False
d) Administer an oral sedative to the child: True/ False

Answer 1

During the immediate postictal period after a tonic-clonic seizure, the nurse should place the child in a side-lying position, delay documentation until the child is fully alert, and avoid administering an oral sedative.

Step-by-step explanation:

During the immediate postictal period after a tonic-clonic seizure, the nurse should:

1. Place the child in a side-lying position. This helps prevent aspiration, maintain an open airway, and reduce the risk of injury.
2. Delay documentation until the child is fully alert. It is important to prioritize the child's safety and well-being before documenting the event.
3. Do not administer an oral sedative to the child. Seizures are usually self-limiting and sedatives are typically not needed unless there is a prolonged seizure or repeated seizures.