A toddler-age client has a tonic-clonic seizure while in a crib in the hospital. The client's jaw is clamped. Which nursing action is the priority?

Question

Quizplus · Accepted Answer

The priority nursing action is to observe the respiratory status of the client. It is important to ensure that the airway is clear and that the client is breathing properly. In this situation, the nurse should stay with the child and monitor the respiratory status. The other options are not appropriate. Placing a padded tongue blade between the jaws could cause harm to the child. Preparing the suction equipment is not a priority until the seizure has ended, and restraining the child could cause injury.

A Toddler-Age Client Has a Tonic-Clonic Seizure While in a Crib