A toddler-age client has a tonic-clonic seizure while in a crib in the hospital. The client's jaw is clamped. Which nursing action is the priority?
1. Place a padded tongue blade between the child's jaws.
2. Stay with the child and observe the respiratory status.
3. Prepare the suction equipment.
4. Restrain the child to prevent injury.
Correct 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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