What is the best initial action for a nurse when a client has a generalized tonic-clonic seizure?

Turning the client onto their side is the best initial action during a generalized tonic-clonic seizure because this position helps to maintain an open airway and reduces the risk of aspiration. When a person has a seizure, they may lose control of their muscles and reflexes, making it possible for them to vomit or salivate. By positioning the person on their side, the risk of these fluids entering the lungs is minimized, facilitating safer breathing.

Additionally, this action helps prevent the individual from choking and allows for any secretions to drain out of the mouth rather than being inhaled. Maintaining safety is crucial during a seizure, and turning the person onto their side also helps to avoid injury from potential falls or other hazards associated with the seizure itself. This intervention is a key component of seizure first aid and aligns with best practices in nursing care.

In contrast, moving furniture out of the way, while beneficial for safety, does not directly address the immediate needs of the client during the seizure. Using a padded tongue blade is not recommended, as it poses a risk of damaging the client’s teeth or causing injury; plus, putting anything in someone's mouth during a seizure is dangerous. Restricting the client's movements can lead to further injury and is not advisable, as