Nurse implements seizure precautions

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Case Study

The nurse implements seizure precautions, reduces environmental stimuli, and administers the prescribed benzodiazepine. Trevor is admitted for observation. After 36 hours in observation, Trevor has had a CIWA-Ar score of 8 for the past 24 hours. Current vital signs are: temperature 99.0° F, pulse 90, respirations 20, and blood pressure 150/88 mm Hg. Trevor is alert and oriented to person, place, and time. No seizure activity has been observed or reported. 6. Evaluate Outcomes (Evaluation)

1. What response by Trevor indicates the nursing goal was met?

2. How would you modify the plan of care if the client outcomes were not met?

Reference no: EM133691601

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