# A client begins having a generalized seizure while in bed. Place the nursing actions in the correct order.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=393871&lang=en  
> language: en  
> subject: Accident/Error/Injury Prevention  
> category: SIPC

## Question

A client begins having a generalized seizure while in bed. Place the nursing actions in the correct order.

Stay with the client, call for help, and start timing the seizure.

Turn the client gently onto the side if possible and keep the airway clear.

After seizure activity stops, assess airway, breathing, vital signs, and neurologic status.

Clear nearby hazards and protect the head without restraining the client.

Document the seizure characteristics and postictal findings.

## 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.

## In-depth explanation

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 scenario

Clinical Practice Guide
Seizure 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.

Caution
Prolonged seizure activity, repeated seizures, injury, pregnancy, or breathing difficulty requires urgent escalation.

## Key concepts

- **Generalized Seizure** — A seizure involving both sides of the brain that may affect consciousness and motor activity.
- **Postictal State** — The recovery period after a seizure, often involving confusion, sleepiness, or neurologic changes.
- **Airway Protection** — Actions that help maintain breathing and reduce aspiration risk during or after an event.

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