Difficulty: Medium
Average Score: 72%
Simulated
While assisting a client to the toilet, the client begins to have a seizure and the nurse eases the client to the floor. The nurse calls for help and monitors the client until the seizing stops. Which intervention should the nurse implement first?
Correct answer
A
Rationale
Assessing respiratory status is the priority after a seizure to ensure adequate oxygenation and detect postictal apnea, which can lead to hypoxia. Documentation, checking for incontinence, and oral injuries are important but secondary to airway and breathing assessment. The nurse should position the client on their side if possible to prevent aspiration and maintain patent airway.