A nurse is caring for a school-age child who is having a tonic-clonic seizure. Which of the following actions should the nurse take?
Explanation & Rationale
A. Time the episode. Correct. Timing the seizure is crucial because it helps determine the length and severity of the seizure, which is important for medical evaluation and treatment decisions.B. Administer chlorothiazide. Chlorothiazide is a diuretic used for conditions like hypertension and edema, not for managing seizures. The correct medication for acute seizure management could be an anticonvulsant like diazepam or lorazepam.C. Place the child in a prone position. Placing the child in a prone position can obstruct the airway and increase the risk of aspiration. The child should be placed in a side-lying position to maintain an open airway and prevent aspiration.D. Hold the child down. Holding the child down can cause injury. The appropriate action is to ensure the child is safe from injury by moving objects away and cushioning the head, without restraining movements.