Nursing Acceleration Challenge Exam (NACE) PN-RN Practice Test

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What should the nurse do after a patient has a generalized clonic-tonic seizure and shows signs of confusion?

Call for emergency assistance
Allow the patient to rest until recovery
Talk to the patient to encourage interaction
Sit the patient in an upright position

The correct answer is: Allow the patient to rest until recovery

After a patient experiences a generalized tonic-clonic seizure, it is common for them to enter a postictal state, characterized by confusion, drowsiness, and fatigue. Allowing the patient to rest is important because during this recovery phase, their brain and body are replenishing energy and regaining normal function after the seizure activity. Providing a calm and quiet environment helps minimize over-stimulation and promotes recovery. This rest period is crucial for the healing processes that take place after the intense neuronal activity of the seizure. Engaging with the patient or attempting to interact with them during the postictal phase may not be beneficial as the patient is likely disoriented, and forcing interaction can increase their anxiety or confusion. Additionally, positioning or calling for assistance might be necessary in certain situations, but the immediate priority post-seizure is generally to ensure that the patient is safe and allowed to rest until they regain full awareness and function.