Seizure Disorders and Epilepsy Care · NCLEX Exam

What is the first action a nurse should take when observing a client having a tonic-clonic seizure?

  1. Place a tongue blade in the client’s mouth
  2. Turn the client onto their side
  3. Restrain the client’s arms and legs
  4. Insert an oral airway
Show answer and explanation

Correct answer: Turn the client onto their side

Turning the client onto the side maintains airway patency and prevents aspiration. Inserting objects into the mouth or restraining the client can cause injury.

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