The nurse witnesses a client having a generalized tonic-clonic seizure. What is the priority nursing action?

Question

Accepted Answer

C. Turn the client to the side and protect the head — Priority is safety and airway protection. Turn the client to the side, protect from injury, and time the seizure. Do not insert objects into the mouth or restrain forcefully.

Answer

A. Insert a tongue blade to prevent biting

Answer

B. Restrain the client’s arms and legs

Answer

D. Offer water as soon as the seizure starts