The nurse has reviewed the Provider Prescriptions at 1030, the Nurses' Notes at 1045 and 1100, and the Vital Signs at 1100. Exhibits Which of the following actions should the nurse take? Select all that apply.

A. Rolling the adolescent onto their side is appropriate during seizure activity or altered consciousness to maintain an open airway and allow secretions or emesis to drain, reducing the risk of aspiration. This is part of standard seizure precaution care. B. Not restraining the adolescent prevents musculoskeletal injury and does not interfere with involuntary seizure movements. Restraints can cause fractures, dislocations, or soft tissue injury and should be avoided during seizure activity. C. Beginning chest compressions is not indicated, as the adolescent still has vital signs, a pulse, and spontaneous respirations. CPR would only be initiated if there was a confirmed absence of breathing and pulse. D. Preparing to give phenytoin PO stat is not appropriate because the adolescent is NPO and at risk for aspiration. If anticonvulsants are required, the IV route would be used instead of oral administration. E. Suctioning the oral cavity is appropriate to maintain airway patency and clear secretions that may accumulate during seizure activity or when the client is drowsy and unable to handle secretions effectively. F. Inserting a bite block is unsafe during seizures, as it can break teeth, injure the mouth, or obstruct the airway. Nothing should be placed in the mouth once a seizure has started.