A nurse is providing education to the family of a client who has a new diagnosis of epilepsy. Which of the following seizure precaution instructions should the nurse include regarding care of the client when they start having a seizure?

Choice A reason:

Restraint during a seizure can lead to injury. It is important to allow the seizure to run its course while ensuring the client is safe from harm. The priority is to protect the client from injury without restraining them, as this can cause fractures or muscle damage.

Choice B reason:

Moving objects away from the client helps prevent injury during a seizure. Clearing the area ensures that the client does not hit anything during the convulsions, reducing the risk of injury. This is a safe and effective measure to protect the client.

Choice C reason:

Placing the client on their back is not recommended during a seizure as it can increase the risk of aspiration if the client vomits. Instead, the client should be turned onto their side (recovery position) to keep the airway clear and prevent choking.

Choice D reason:

Inserting a padded tongue blade into the client’s mouth is outdated and dangerous. It can cause dental damage or block the airway. There is also a risk of injury to both the client and the person attempting to insert the object. It is no longer recommended.

Choice A reason:

Placing the wheelchair on the client's left side is not helpful for someone with left homonymous hemianopsia, as the client will have difficulty seeing the left side. This intervention does not address the visual deficit properly.

Choice B reason:

Orienting the client to the food on the plate using the clock method is beneficial for clients with visual impairments, but it is not specific to addressing left homonymous hemianopsia. It does not help the client scan their environment effectively.

Choice C reason:

Teaching the client to turn their head to scan to the right helps compensate for the left-sided visual field loss. This strategy allows the client to detect objects in their blind spot and improves their ability to navigate their environment safely.

Choice D reason:

Placing the bedside table on the right side of the bed ensures it is within the client’s field of vision and easily accessible, which is a supportive measure. However, teaching scanning techniques is more critical in helping the client adjust to their visual deficit.