A nurse is assessing a child with iron deficiency anemia. Which of the following is NOT an expected finding?

A. Administering anti-seizure medication is the priority. In a child experiencing status epilepticus, immediate administration of anti-seizure medication is essential to stop the seizure activity and prevent further neurological damage. The primary goal is to terminate the seizure as quickly as possible.

B. Restraining the child to prevent injury is not the priority. Restraining a child during a seizure can increase the risk of injury and is not recommended. Instead, protecting the child from harm by placing them in a safe position is more appropriate.

C. Providing emotional support to the child's family is important, but it is not the immediate priority during the acute phase of status epilepticus. The child's immediate safety and health take precedence.

D. Documenting the seizure activity should be done after ensuring that the seizure has been controlled. Accurate documentation is important, but it is secondary to the intervention needed to stop the seizure.

A. Placing the client on their side is the correct action to prevent aspiration and help keep the airway open during a seizure. It also helps drain secretions and can reduce the risk of choking.

B. Holding the client's arms and legs is not recommended during a seizure because this can lead to injury to the client and the nurse. Seizure activity should be allowed to run its course in a safe environment.

C. Placing the client back in bed during a seizure could be dangerous, as it is better to keep the client safe on the floor to prevent falling or injury. The priority is ensuring the client’s safety during the seizure rather than moving them back into bed.

D. Inserting a tongue blade in the client's mouth is an outdated practice and can lead to injury or even cause the client to bite down on the tongue blade. There is no need to insert anything into the mouth during a seizure.