How should a nurse respond to a patient who is currently having a seizure?

• A. Place objects in the mouth
• B. Restrain the patient
• C. Tilt the head back to open the airway
• D. Do not place objects in the mouth

Answer: (D)

During a seizure, the priority is to keep the person safe and ensure the airway remains open. Do not place objects in the mouth. Inserting items can cause choking, dental injury, soft-tissue damage, and aspiration, and it does not stop or shorten the seizure. Restraining the person can lead to injuries and does not help the seizure stop. Tilting the head back to open the airway is not advised during a seizure because it can hinder breathing and isn’t necessary for airway protection; once the convulsions end, gently help the person to a side-lying (recovery) position to keep the airway clear and allow secretions to drain. Stay with them, time the seizure, loosen restrictive clothing, and seek help if the seizure lasts longer than five minutes, if another seizure follows immediately, or if there are signs of injury. Afterward, assess breathing and provide supportive care as needed.