UPPSC 2017
Medical Surgical Nursing
Easy
Which would you do when caring for epileptic seizure victim?
Appeared in: UPPSC 2017
Explanation
- The primary goal during a seizure is to protect the person from injury.
- Removing nearby hard or sharp objects prevents trauma that can occur from involuntary muscle contractions (convulsions).
- This action creates a safe environment without physically interfering with the person having the seizure.
Why Other Options Were Wrong
- Option B: Forcing an object into the mouth can cause broken teeth, jaw injuries, or an airway obstruction if the object breaks.
- Option C: Restraining a person during a seizure can lead to fractures, muscle tears, or other musculoskeletal injuries due to the force of the convulsions.
- Option D: This option is incorrect because it includes two harmful and contraindicated actions: placing an object in the mouth and restraining the person.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain First Aid and Safety for Seizures as background academic context rather than a clinical decision trigger.
- Knowing correct seizure first aid is a critical skill for nurses to ensure patient safety and to educate family members and the public, dispelling dangerous myths.
- Accurate observation and timing of the seizure are vital for the medical team to diagnose the seizure type and determine appropriate treatment.
- What if? If the seizure lasts longer than 5 minutes, or if the person has another seizure immediately after the first one (status epilepticus), it is a medical emergency. You must call for immediate medical help (e.g., activate a code or call an ambulance).
How to Approach the Question
- Identify the core question, which asks for the correct action during a seizure.
- Analyze the options based on the primary principle of seizure care: patient safety.
- Evaluate Option A: Removing objects prevents injury. This aligns with the safety principle.
- Evaluate Option B: Placing objects in the mouth is a known dangerous myth that can cause injury. Eliminate this option.
- Evaluate Option C: Restraining the person can cause musculoskeletal injury. Eliminate this option.
- Since options B and C are incorrect, 'All of the above' (Option D) must also be incorrect. This leaves Option A as the only safe and correct action.
Concept Tested & Keywords
- Concept Tested: First Aid and Safety for Seizures
- Stem keywords: caring, epileptic seizure, victim
- Lead-in keywords: Which would you do
- Negative lead-in flag: false
Question ID
QxC_vuKWNL5h2OMg672D2M
Reference Book
E6 Medicine Davidson Principles Practice 24e p. 1121-1123
E6 Pharmacology Nursing Lilley 11e Part 1 p. 246-248
Practise the full UPPSC 2017
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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