Identify the action that the nurse should take first when a 12-year-old boy who is sitting in a chair begins to have a tonic-clonic seizure.
A)Restrain the child to prevent injury to his arms and legs.
B)Pad the environment around the chair.
C)Quickly insert an oral airway in his mouth to keep the airway patent.
D)Move him to a flat surface and position him on his side.

Question

Quizplus · Accepted Answer

The first action the nurse should take when a child is having a seizure is to ensure their safety. Moving the child to a flat surface and positioning them on their side will help prevent aspiration and injury. Restraint should not be used during a seizure and inserting an oral airway can cause injury if done incorrectly. Padding the environment may be helpful but is not the first priority.

Identify the Action That the Nurse Should Take First When