While at the urgent care clinic for a routine physical exam, a 27-year-old man experiences a tonic-clonic seizure. While awaiting emergency medical services response, the NP will avoid which of the following interventions?

Choice A reason: Rolling the patient into the recovery position is an essential intervention during a seizure. This helps maintain an open airway and prevents aspiration if the patient vomits. It is a safe and recommended practice to protect the patient without causing harm. Choice B reason: Restraining a patient during a tonic-clonic seizure can cause injury to both the patient and the healthcare provider. It is contraindicated because it can lead to broken bones, joint dislocations, and soft tissue injuries. The safest approach is to ensure the area around the patient is clear and allow the seizure to run its course while maintaining airway and safety. Choice C reason: Maintaining the patient’s airway is critical during a seizure to prevent hypoxia and aspiration. Interventions can include positioning the patient on their side, suctioning secretions if necessary, and monitoring for respiratory compromise. This is a recommended and life-saving action. Choice D reason: Obtaining IV access, if possible, is important for rapid administration of emergency medications if the seizure is prolonged or complications arise. While not immediately necessary during the seizure onset, it is appropriate to prepare for potential interventions safely.