A 2-year-old starts to have a tonicclonic seizure while in a crib in the hospital. The child's jaws are clamped. The most important nursing action at this time is to
1. place a padded tongue bladebetween the child's jaws.
2. stay with the child and observe therespiratory status.
3. prepare the suction equipment.
4. restrain the child to prevent injury.
Answer:2
Rationale:During a seizure the nurse remains with the child,watching for complications. The child's respiratory rate should be monitored.Be sure nothing is placed in the child's mouth during a seizure.Suction equipment should already be set up at the bedside before a seizure begins. The child should not be restrained during a seizure.
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