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The Nurse Observes an Ambulating Client Begin to Experience a Tonic-Clonic

Question 208

Multiple Choice

The nurse observes an ambulating client begin to experience a tonic-clonic seizure.  Which nursing actions should be implemented immediately?  Select all that apply.


A) Guide the client to the floor and gently cradle the head
B) Insert a tongue blade to prevent client from swallowing the tongue
C) Move objects that may cause injury away from the client
D) Physically restrain the client to prevent injury
E) Place the client in left lateral position
F) Remain with the client, observe, and record the seizure activity

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