Difficulty: Medium
Average Score: 80%
Simulated
A client begins to experience a tonic-clonic seizure. Which actions should the nurse take to assure client safety? Select all that apply.
Correct answer
B,C,D,F
Rationale
Precautions are taken to prevent a client from sustaining injury during a seizure. The nurse would maintain the client's airway and turn the client to the side. The nurse would also protect the client from injury, guide the client's movements, and loosen any restrictive clothing. Restraints are never used because they could injure the client during the seizure. A padded tongue blade or any other object is never placed into the client's mouth after a seizure begins because the jaw may clench down.