What is the #1 priority for the nurse when a patient has a seizure?

• A. Maintain a patent airway
• B. Restrain the patient
• C. Administer seizure medication immediately
• D. Check blood pressure

Answer: (A)

Airway protection is the first priority because during a seizure the patient can lose airway patency and risk aspiration or hypoxia. Keeping the airway open ensures oxygen reaches the brain and other organs, which is the most immediate life-sustaining need. In practice, you would protect the head, gently clear the area of hazards, and avoid restraining or placing anything in the mouth. If breathing becomes compromised, provide appropriate support and call for help per protocol. Medications and blood pressure checks are important, but they don't take precedence over preserving the airway during the event. After the seizure stops, position the patient on their side in the recovery position, monitor breathing and circulation, and assess for injuries.