A child with a history of seizures begins to seize suddenly in his hospital room. The nurse would do all of the following interventions EXCEPT

  • loosen the child’s clothing and remove the pillow from his bed.
  • administer lorazepam rectally.
  • roll the child on his side.
  • restrain the child’s arms and legs.
Number 4 is correct.
The nurse should never restrain a client during a seizure because musculoskeletal injury could occur. Loosening clothing and clearing the immediate area will help protect the client from injury. Lorazepam is a commonly prescribed antiseizure medication and should be administered rectally since a client in an active seizure cannot safely swallow. The client should be rolled on his side if possible to allow the tongue to return to a normal position and saliva to drain out of the mouth instead of back into the throat.