In the event of a tonic-clonic seizure, what should the nurse do first?

Turning the client's head to the side during a tonic-clonic seizure is critical for several reasons. This position helps to maintain an open airway and prevent aspiration. When a person experiences a seizure, they might lose control over their bodily functions, including the ability to breathe normally. By turning the head to the side, it allows any fluids, such as saliva or vomit, to drain out of the mouth rather than becoming a choking hazard.

Additionally, protecting the airway is one of the primary concerns in managing a patient during a seizure. Ensuring that the person is not in a position where they could inhale foreign materials can significantly decrease the risk of respiratory complications. It's also important to monitor the duration of the seizure and the client's condition after it, but ensuring their immediate safety by positioning them correctly is the first priority. Other interventions, such as checking motor strength, loosening clothing, and documenting the seizure’s onset, are important, but they should come after addressing the immediate needs for airway protection.