A client with severe preeclampsia begins having a generalize… | MyMerci
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Medical Emergencies

A client with severe preeclampsia begins having a generalized seizure. Place the nurse's actions in priority order.

Ordered Response

Choose your responses, then check the answer.

Turn the client to a side-lying position, protect the head, and remove nearby hazards without restraining movement.
Administer the prescribed magnesium-sulfate loading dose and monitor respirations, reflexes, and urine output.
Stay with the client, call for immediate assistance, and note the seizure start time.
Maintain a patent airway, provide oxygen as indicated, and keep suction available without forcing an object into the mouth.
After stabilization, reassess maternal blood pressure and neurologic status, evaluate fetal status, and document the event and response.
Explanation
Stay and summon help, position side-lying and prevent injury, then support airway and oxygenation. Give prescribed magnesium sulfate to control and prevent recurrent eclamptic seizures. Maternal reassessment precedes interpretation of fetal status and documentation after stabilization.
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