While in the playroom a school-aged child exhibits twitching of the right arm and leg that almost immediately progresses to a generalized tonic-clonic seizure with clenched jaws. what is the best action for the nurse to take after moving the child to the floor?

There are choices for this question:

A. Take the other children to their rooms

B. Put a plastic airway into the child's mouth

C. Place a large pillow under the child's head

D. Move the toys and furniture away from the child

The correct answer is "move the toys and furniture away from the child". This is because toys, furniture, and nearby object can potentially injure the child while he is seizing and this can be a cause of a preventable injury to this child. Taking other children to their rooms as well as placing a large pillow under the child's head are unnecessary measures. Putting a plastic airway to the child's mouth may lead to a traumatic injury and can aggravate the condition.