The nurse is caring for a client admitted for a seizure disorder. The nurse witnesses the client having a tonic-clonic seizure with increasing salivation. Which actions should the nurse take? Select all that apply.

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Safety is the immediate priority in a client experiencing a seizure. Nursing interventions include: Nursing interventions Remain at the client's bedside while noting duration and symptoms of the seizureCall for help so that other team members can assist with care of the client (Option A)Protect client from hitting hard surfaces by padding the side railsTurn client on the side if possible to allow for drainage of secretions and prevent the tongue from occluding the airway (Option E)Loosen clothing around the neck and chest to promote ventilationUse suction equipment after the seizure subsides as needed to maintain a patent airway (Option D) Remain at the client's bedside while noting duration and symptoms of the seizure Call for help so that other team members can assist with care of the client (Option A) Protect client from hitting hard surfaces by padding the side rails Turn client on the side if possible to allow for drainage of secretions and prevent the tongue from occluding the airway (Option E) Loosen clothing around the neck and chest to promote ventilation Use suction equipment after the seizure subsides as needed to maintain a patent airway (Option D) The client should not be restrained as this could cause an injury (Option B). Oral airways should be kept at the bedside for postictal airway management and recovery, but during an active seizure it is dangerous to attempt to insert anything in the client's mouth, especially if the teeth are clenched (Option C). Educational objective: During an active seizure, the nurse should call for additional help, turn the client on the side if possible, and have suction equipment ready to clear any excessive secretions that may block the airway. The nurse should not restrain the client or force anything into the client's mouth.

The Nurse Is Caring for a Client Admitted for a Seizure