Which one of the following actions should the nurse take?

The nurse enters the playroom and finds an 8-year-old child having a grand mal seizure.

Which one of the following actions should the nurse take?
A . Place a tongue blade in the child’s mouth.
B . Restrain the child so he will not injure himself.
C . Go to the nurses station and call the physician.
D . Move furniture out of the way and place a blanket under his head.

View Answer

Answer: D

Explanation:

(A) The nurse should not put anything in the child’s mouth during a seizure; this action could obstruct the airway.

(B) Restraining the child’s movements could cause constrictive injury.

(C) Staying with the child during a seizure provides protection and allows the nurse to observe the seizure activity.

(D) The nurse should provide safety for the child by moving objects and protecting the head.