A nurse is caring for an 8-year-old child who has a new onset of generalized seizures. Which of the following interventions should the nurse include in the plan of care?

Management of pediatric neurological disorders requires prioritizing airway patency and safety during ictal events. Nurses must apply knowledge of seizure precautions, physiological positioning, and emergency pharmacological protocols to prevent injury, aspiration, and status epilepticus while avoiding restrictive or hazardous interventions. Choice A rationale Elevating the head during active seizing increases the risk of aspiration or airway occlusion if the tongue falls back. Lateral positioning is preferred to allow oral secretions to drain freely, maintaining airway patency and preventing pulmonary complications. Choice B rationale Physical restraints during tonic-clonic activity can cause musculoskeletal trauma, including fractures or dislocations. The nurse should clear the immediate environment of hard objects and pad side rails to ensure safety without restricting the child's natural movements. Choice C rationale Administering oral medications during a seizure is strictly contraindicated due to the high risk of aspiration and choking. Emergency anticonvulsants, such as diazepam or lorazepam, are administered via intravenous, rectal, or buccal routes during active status. Choice D rationale Loosening restrictive clothing around the neck and chest ensures an unobstructed airway and promotes adequate thoracic expansion. This intervention facilitates effective ventilation and reduces the risk of respiratory distress or hypoxia while the child is experiencing muscular contractions.