NursingPlex
    Sign In
    ATI Nur 223 Mental Health proctored Exam
    Select All That Apply

    The nurse is setting up the room for an admission who is being admitted for alcohol withdrawal. Which of the following should the nurse place at bedside to initiate seizure precautions? (Select all that apply)

    Explanation & Rationale

    Choice A reason: Placing the bed in the lowest position is a seizure precaution for alcohol withdrawal, as seizures can cause falls. Lowering the bed minimizes injury risk by reducing fall height, addressing the high seizure risk during withdrawal due to hyperexcitability from reduced GABA activity in the brain. Choice B reason: Keeping a suction setup at the bedside is essential for seizure precautions, as seizures during alcohol withdrawal can lead to airway obstruction from secretions or tongue biting. Suctioning maintains airway patency, preventing aspiration and ensuring oxygenation, critical given the neurological instability in withdrawal. Choice C reason: Placing the patient near the nurse’s station enhances monitoring but is not a bedside seizure precaution. It facilitates rapid response but does not directly address immediate seizure-related risks like airway obstruction or injury, making it less critical than bedside interventions for acute seizure management. Choice D reason: Keeping an oxygen setup at the bedside is a seizure precaution, as seizures can cause hypoxia due to prolonged muscle contractions or apnea. Oxygen administration ensures adequate cerebral oxygenation during a seizure, critical in alcohol withdrawal where neuronal hyperexcitability increases seizure risk and potential complications. Choice E reason: Placing restraints at the bedside is not a standard seizure precaution, as restraining during a seizure can cause injury or increase agitation. In alcohol withdrawal, seizure management focuses on safety (e.g., bed height, airway protection) rather than restraint, which is only used in extreme behavioral cases, not seizures.

    🔒 Submit your answer to reveal