Difficulty: Medium
Average Score: 63%
Simulated
A client is having a seizure; his blood oxygen saturation drops from 92% to 82%. What should the nurse do first?
Correct answer
A
Rationale
When a client is having a seizure and their blood oxygen saturation drops significantly, the priority action for the nurse is to open the airway. This allows for adequate oxygenation and ventilation. Administering oxygen can come after ensuring the airway is clear. Suctioning the client should be done if there is an airway obstruction, and checking for breathing is part of the assessment but opening the airway takes precedence to ensure proper oxygenation and ventilation during a critical event like a seizure.