The patient is having a generalized tonic-clonic seizure. To maintain the airway, which intervention should the nurse implement after the patient's motor activity ceases?
a. Apply chin-lift position.
b. Insert a curved oral airway.
c. Sit the patient in upright position.
d. Turn the patient on his side.
D
Patients who have been rolled onto their side during a major motor seizure are at greater risk for self-injury, such as a dislocated shoulder. Since patients are not breathing during a generalized tonic-clonic seizure, they are not at high risk for aspiration until the event ends. Immediately following such a seizure, patients usually take a deep breath. Therefore, a patient should be rolled over onto his or her side immediately after the motor activity ceases. Chin-lift is an effective method of maintaining a patient's airway; however, it does not protect the patient against aspiration. Oral airways are not inserted during a seizure unless the patient's jaw relaxes enough to properly insert the airway without causing tissue damage. The upright position is contraindi-cated for airway maintenance.
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