The client is having a tonic-clonic seizure. Which should the nurse implement during the client's seizure to maintain the airway?
1. Apply chin-lift position.
2. Insert a curved oral airway.
3. Sit client in upright position.
4. Turn client's head to the side.
4
4. The nurse turns the client's head to either side if possible during a seizure to prevent aspiration and maintain the airway because, with the head to the side, emesis is less likely to flow back into the lungs.
1. Chin-lift is an effective method of maintaining a client's airway; however, it does not protect the client against aspiration. The nurse implements chin lift or jaw thrust after a spinal cord injury is ruled out.
2. Oral airways are not inserted during a seizure unless the client's jaw relaxes enough to properly insert the airway without causing tissue damage.
3. The upright position is contraindicated for airway maintenance.
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