A nurse is teaching the family of a client who has a new diagnosis of epilepsy about actions to take if the client experiences a seizure. Which of the following instructions should the nurse include in the teaching?
Explanation & Rationale
A. "Give mouth to mouth breaths.": During a seizure, attempting mouth-to-mouth resuscitation is unsafe and unnecessary unless the seizure is prolonged and the client is not breathing afterward. Immediate airway support should focus on maintaining a clear airway without forcing intervention during active convulsions. B. "Move objects away from the client.": Removing nearby objects reduces the risk of injury during a seizure. Clearing the environment of furniture, sharp items, or other hazards helps protect the client from trauma caused by uncontrolled movements, making this a critical safety action during seizure management. C. "Place the client on his back.": Placing a client flat on the back during a seizure increases the risk of aspiration. The recommended position is on the side (recovery position) to help maintain a patent airway and facilitate drainage of secretions while reducing choking risk. D. "Attempt to stop their movements.": Trying to physically restrain a client during a seizure can cause injury to both the client and caregiver. Seizure movements should be allowed to occur naturally while ensuring the environment is safe and monitoring the client until the episode resolves.