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    Hesi rn pediatric and women health (wgu) proctored exam

    A nurse is caring for a client who is having a seizure. Which of the following actions should the nurse take to prevent client injury?

    Explanation & Rationale

    Choice A reason: Placing the client in a prone position is unsafe during a seizure. The prone position can obstruct the airway and increase the risk of aspiration. The client should be placed on their side to maintain airway patency. Choice B reason: Inserting any object, including a padded tongue blade, into the client’s mouth during a seizure is contraindicated. This can cause oral trauma, broken teeth, or airway obstruction. Choice C reason: Loosening restrictive clothing helps prevent injury and promotes adequate ventilation during a seizure. It reduces the risk of airway compromise and allows the client to move freely without restriction. This is the correct intervention. Choice D reason: Restricting extremity movement during a seizure can cause musculoskeletal injury. The nurse should allow the seizure to occur naturally while ensuring the environment is safe and the client is protected from harm.

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