What should the nurse do to prevent a patient from aspirating during a seizure?

a. Insert an oral airway.
b. Restrain the patient securely.
c. Sit the patient upright.
d. Turn the patient onto his/her side.


D
If possible, turn the patient onto the side, with the head flexed slightly forward. This position prevents the tongue from blocking the airway and promotes drainage of secretions, thus reducing the risk for aspiration. Do not force any objects such as fingers, medicine or tongue depressor, or airway into the patient's mouth when the teeth are clenched. This could cause injury to the mouth and could stimulate gagging, leading to possible aspiration. Do not restrain the patient. Loosen clothing to prevent musculoskeletal injury and airway obstruction. When a seizure begins, position the patient safely. If the patient is standing or sitting, guide the patient to the floor and protect the head by cradling in the nurse's lap or placing a pillow under the head. Clear the surrounding area of furniture. If the patient is in bed, raise the side rails and pad, and put the bed in a low position.

Nursing

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