When a client suffers a tonic-clonic seizure, the nurse should (Select all that apply)
a. insert an oral airway into the client's mouth.
b. move objects out of the client's way.
c. observe and document characteristics of the seizure.
d. place a pillow or some padding under the client's head.
e. turn the client gently on one side.
B, C, D, E
A person having a seizure needs protection from the environment. The nurse should move objects out of the way, place some type of padding under the client's head, loosen clothing that is tight around the client's neck, turn the client to one side to facilitate draining saliva, and observe the characteristics of the seizure. Nothing should be forced into the client's mouth.
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