Progressive Care Nursing Certification (PCCN) Practice Exam

During a generalized grand mal seizure, what is the most appropriate nursing action?

1. Position the patient flat on their back and loosen clothing

2. Place a tongue blade between their teeth

3. Do not touch the patient until the seizure subsides

4. Position the patient on their side with head flexed forward

The correct answer is: Position the patient on their side with head flexed forward

Positioning the patient on their side with their head flexed forward is the most appropriate nursing action during a generalized grand mal seizure. This position, often referred to as the recovery position, helps to maintain an open airway, which is crucial since seizures can lead to loss of airway control and potential aspiration. By positioning the patient on their side, any secretions or saliva can drain out of the mouth rather than accumulate in the throat, reducing the risk of choking. Additionally, this position can help prevent injuries related to falling or jerking, as the patient's body is less likely to hit surfaces if they are on their side. The forward flexion of the head can further assist in keeping the airway open. It is important to ensure safety measures are in place for the patient during a seizure, but this specific approach also takes into account the postictal state when the patient may be disoriented or less responsive. Overall, promptly providing a safe and effective position during a seizure is essential in nursing practice to protect the patient and facilitate recovery.