The patient has a tonic-clonic seizure. During the seizure, the priority for nursing care is to

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During a tonic-clonic seizure, the priority for nursing care is to protect the patient from injury. This includes moving any objects that could cause harm, cushioning the patient's head, and ensuring that the patient does not fall or hit their head on nearby objects. Inserting a bite block is not recommended as it can cause injury to the patient's mouth, and asking staff to hold the patient tightly can also cause injury. Obtaining vital signs can wait until after the seizure has ended.

The Patient Has a Tonic-Clonic Seizure