Difficulty: Medium
Average Score: 73%
Simulated
A client begins to experience seizure activity while in bed. The nurse should provide which intervention to prevent aspiration?
Correct answer
D
Rationale
Positioning the client on one side with the head flexed forward allows the tongue to fall forward and facilitates the drainage of secretions, which could help prevent aspiration. The nurse would not raise the head of the client's bed. The nurse would remove restrictive clothing and the pillow and raise the padded side rails, if present, but these actions would not decrease the risk of aspiration; rather, they are general safety measures to use during seizure activity.