A nurse is caring for a client who is in bed and begins experiencing a tonic-clonic seizure. Which of the following actions should the nurse take?

Correct answer: B a. Lowering the side rails is unnecessary and could increase the risk of falling. The side rails should be raised and padded instead. b. The nurse should observe and document the duration of the seizure. This information helps in assessing the severity and guiding further interventions c. Restraining the client's arms and legs to prevent injury is not recommended during a seizure. Restraining a person during a seizure can increase the risk of injury and may impede their ability to move or protect themselves during the seizure. d. Inserting an oral airway into the client's mouth is not indicated during a tonic-clonic seizure. It is generally not recommended to place any objects or devices into the mouth of a person having a seizure, as it can potentially cause injury to the person or damage to the airway