Problem:
The nurse enters the room of a client admitted for evaluation of a convulsive disorder. The family members present report the client just had a seizure After determining vital signs are normal and there are no injuries, then placing the client in side-lying position, which a the nurse take next? Need Assignment Help? 1. Documents that the family witnessed a seizure but the nurse did not, and records the vital signs of the client 2. Explores the feelings of the family regarding witnessing this seizure activity now and in the past 3_ Interviews the family about what they observed, including the duration of the seizure, and accurately documents their responses using their own words 4. Instructs the family to call the nurse the next time, completes a root cause analysis, and notifies the health care provider