During a seizure in the waiting room, what is the nurse's first safety action?

• A. Push the furniture away from the client.
• B. Remove people from the waiting room.
• C. Assess the client's blood pressure.
• D. Safely move the client to the floor.

Answer: (D)

During a seizure, the immediate priority is safety to prevent injury. The best first action is to gently bring the client to the floor and position them there in a safe way. Being on the floor reduces the risk of a fall causing head trauma and makes it easier to protect the head, clear nearby hazards, and monitor the airway as the seizure progresses. Cushion the head with something soft if available, loosen any tight clothing around the neck, and avoid restraining the person or trying to put anything in the mouth. After the seizure begins to subside, time its duration and check breathing. If help is needed, or the seizure lasts unusually long, call for additional assistance. Directing bystanders away from the patient is helpful, but the most critical step to prevent injury is getting the patient safely onto the floor.