During a seizure, which action is appropriate?

• A. Assist them to lie down and protect airway as necessary, including turning to the side, loosening clothing, removing objects, giving oxygen as needed, and documenting time and duration; never put anything in the mouth or restrain
• B. Restraining the patient to prevent injury
• C. Place a tongue blade in the mouth to keep the airway open
• D. Give fluids during seizure

Answer: (D)

Safety and airway protection are the priorities during a seizure. The best action is to help the person lie down and protect the airway as needed by turning them to the side, loosening restrictive clothing, and removing nearby objects that could cause injury. Do not restrain the person or place anything in the mouth; both can cause harm. If oxygen is available and the person is not hypoxic, provide oxygen to support oxygenation. Time the seizure and document when it started and how long it lasts, which helps determine the need for further intervention. After the seizure ends, continue to monitor breathing and level of consciousness and ensure the person recovers in a safe environment. Giving fluids during the seizure is not appropriate because swallowing and airway protection are impaired and there is a risk of aspiration; fluids should be given after recovery if needed.