Aclient has a tonic-clonic seizure while the nurse is in the client's room. Which of the following actions should the nurse take?
A)Insert an oral airway during the seizure to maintain a patent airway.
B)Restrain the client's arms and legs to prevent injury during the seizure.
C)Avoid touching the client to prevent further nervous system stimulation.
D)Time and observe and record the details of the seizure and postictal state.

Question

Quizplus · Accepted Answer

Because diagnosis and treatment of seizures frequently are based on the description of the seizure, recording the length and details of the seizure is important. Insertion of an oral airway and restraining the client during the seizure are contraindicated. The nurse may need to move the client to decrease the risk of injury during the seizure.

Aclient Has a Tonic-Clonic Seizure While the Nurse Is in the Client's