The nurse is caring for a toddler-age client who starts to have a tonic-clonic (grand mal) seizure while in a crib in the hospital. The child's jaws are clamped shut. What is the most appropriate nursing action?
A) Place a tongue blade between the child's jaws.
B) Restrain the child to prevent injury.
C) Prepare the suction equipment.
D) Stay with the child to observe for complications.
Answer: D
During a seizure, the nurse remains with the child, watching for complications. 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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