A 10-year-old child, without a history of previous seizures, experiences a tonic-clonic seizure at school. Breathing is not impaired, but some postictal confusion occurs. The most appropriate initial action by the school nurse is to:
a. stay with child and have someone call emergency medical service (EMS).
b. notify parent and regular practitioner.
c. notify parent that child should go home.
d. stay with child, offering calm reassurance.
ANS: A
The EMS should be called to transport the child because this is the child's first seizure. Because this is the first seizure, evaluation should be performed as soon as possible. The nurse should stay with the child while someone else notifies the EMS.
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