Which action would the nurse take first when caring for a client who is admitted to the emergency department after experiencing a seizure?
Explanation & Rationale
A. Obtain a history of seizure type and incidence is important but is not the immediate priority. Gathering history helps with ongoing management and planning but should follow initial safety measures and assessment. B. Ask the emergency provider for a prophylactic anticonvulsant is incorrect because medication orders are based on assessment findings and clinical judgment. Immediate safety and stabilization take precedence over requesting medications. C. Observe the client for increased restlessness and agitation is correct. The first priority after a seizure is to ensure client safety and monitor for early signs of another seizure or complications. Observing behavior and neurological status allows the nurse to identify potential deterioration or recurrent seizure activity, ensuring prompt intervention. D. Ask the client to remove any eyeglasses is incorrect as a first action. While removing eyeglasses can prevent injury during seizure activity, it is only relevant if the seizure is ongoing. Postictally, the focus should be on monitoring neurological status and safety.