A male patient with a metastatic brain tumor has a generalized seizure. He is vomiting. The family calls for the nurse. What should the nurse do first?
A) Obtain supplies to suction.
B) Page or call the physician.
C) Insert a wooden tongue blade into his mouth.
D) Turn him on his side.
Ans: D
Feedback: The nurse's first response should be to place the patient on his side to prevent him from aspirating emesis. Inserting something into the seizing patient's mouth is no longer part of a seizure protocol. Obtaining supplies to suction the patient would be a delegated task. Paging or calling the physician would only be necessary if this is the patient's first seizure.
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