A nurse is planning care for a client who is experiencing seizures secondary to meningitis. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

Nursing care for a client experiencing seizures secondary to meningitis focuses on reducing stimuli, maintaining airway safety, and preventing injury during seizure activity. Meningitis causes inflammation of the meninges, which can increase intracranial irritation and trigger seizures. Environmental control and emergency preparedness are essential because sudden seizure activity may compromise breathing and consciousness. The nurse must prioritize safety measures that protect the client without causing additional harm. Rationale: A. Placing a tongue blade at the bedside is inappropriate and unsafe because nothing should be inserted into the client’s mouth during a seizure. Attempting to force an object into the mouth can cause broken teeth, aspiration, or oral trauma. The priority is to protect the airway and prevent injury, not to prevent tongue biting with foreign objects. B. Dimming the overhead lights is appropriate because bright lights can increase neurological stimulation and may worsen discomfort or trigger seizure activity in clients with meningitis. Reduced sensory stimulation helps decrease irritation of the inflamed central nervous system. A quiet, darkened environment also helps relieve associated symptoms such as photophobia and headache. C. Assisting the client to ambulate every 4 hours is not a priority during active seizure risk because safety and neurologic stability come first. Frequent ambulation may increase the risk of falls or injury if a seizure occurs unexpectedly. Bed rest with seizure precautions is more appropriate until the condition is stabilized and neurological status improves. D. Applying a warming blanket is not indicated because clients with meningitis often have fever due to infection, and excessive warming can worsen hyperthermia. Temperature management should focus on controlling fever rather than increasing body heat. Cooling measures and prescribed antipyretics are more appropriate if elevated temperature is present. E. Having suction equipment at the bedside is appropriate because seizure activity can impair swallowing and increase the risk of airway obstruction from secretions or vomiting. Immediate access to suction helps maintain airway patency and reduces the risk of aspiration. Airway protection is one of the highest priorities in seizure management and emergency preparedness.