Difficulty: Medium
Average Score: 81%
Simulated
A nurse on a medical-surgical unit is checking the bowel sounds of a client who has epilepsy. The client begins to experience a tonic-clonic seizure. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
Correct answer
A,B,D,C
Rationale
The sequence is: Remain with the client and call for help , place the client in the lateral position , check for injuries , then reorient and reassure the client to ensure safety and recovery.