In order to avoid hitting anything and avoid suffering trauma during the tonic-clinic phase of the seizure, impediments should be moved away from the client.
The client should be placed on one side with the head flexed forward, if possible, to allow the tongue to fall forward and aid in drainage. Nursing interventions during a seizure include ensuring privacy, removing constrictive clothing, removing the pillow, raising the side rails in the bed, and providing for privacy.
A patient who is having a seizure must be kept airway open, shielded from harm, given treatment throughout and after the episode, and the incident must be recorded in the patient's medical file.
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