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Seizure Disorder

Scenario: Peter is a 22-year-old male with a history of seizures. He is usually compliant with his medications, but he has been out of work for over a month and cannot afford his prescribed anti-seizure medication. Today, Peter was standing in line at a grocery store and suddenly fell, thrashing about on the floor. You witnessed the event unfold. As a nurse, you immediately offer your assistance.

Please refer to the scenario above and answer the following questions.

What would be the priority nursing intervention to care for Peter? Please explain the rationale for your response.
Bystanders insist that you place something in his mouth to keep him from biting or swallowing his tongue. Is this an appropriate action? Why or why not?
You have asked someone to call 911. What do you anticipate reporting to the emergency medical personnel when they arrive? Please explain the rationale for your response.
Peter remains a little groggy after the seizure ends. You explain that the ambulance is on its way and that you will stay with him until it arrives. Peter asks you to help him up off of the floor. Is this an appropriate action at this time? Why or why not?

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