Mr. and Mrs. McNamara seek advice about caring for their 24-year-old son with a newly diagnosed seizure disorder. What should the practical nurse teach them about seizure safety?

• A. Restrain him gently until the seizure passes.
• B. Use a padded tongue blade to prevent damage to his tongue during the seizure.
• C. Put him in a side-lying position as soon as the seizure starts.
• D. Loosen restrictive clothing and clear the area of hazards and articles that might harm him.

Answer: (D)

Safety during a seizure is all about preventing injury and keeping the airway clear. The practical nurse should teach the family to create a safe environment by loosening restrictive clothing and removing hazards or objects that could injure him if he thrashes or falls. This simple step reduces the risk of suffocation, head injury, or getting caught on something. It also helps him breathe more easily if mouth or airway become blocked.

Avoid restraining him or placing objects in his mouth, which can cause harm. Positioning him on his side when possible after the seizure or as it ends helps drainage and airway protection. If a seizure lasts longer than five minutes, or he has multiple seizures without regaining consciousness, call emergency help.