A client begins having a generalized seizure while in bed. Place the nursing actions in the correct order.
Ordered Response
Choose your responses, then check the answer.
Explanation
The nurse first stays with the client, calls for help, and times the event. Next, protect the client from injury without restraining, then position to help maintain the airway when possible. After the seizure stops, assess airway, breathing, vital signs, and neurologic status before documenting. The correct order is 3, 4, 1, 5, 2.
Clinical Judgment During a seizure, prevent injury and maintain airway safety without forcing movement or putting anything in the mouth.
Memory Tip Stay, protect, side, assess, document.
KR vs US NCLEX seizure items often test what not to do: do not restrain and do not insert objects into the mouth.
Clinical Practice GuideSeizure first aid guidance emphasizes staying with the person, keeping them safe, timing the seizure, turning them on the side when possible, and avoiding restraint or objects in the mouth.