The nurse is preparing the client for discharge.

Which of the following statements indicate the client understands the discharge teaching?

Select the 3 client statements that indicate an understanding of the teaching.

A. Turn the client's head to the side: Turning the head to the side helps maintain airway patency and allows saliva or secretions to drain, reducing the risk of aspiration. This action is performed once the client is safely positioned and seizing. Airway protection is a priority during active seizure activity.

B. Guide the client to the floor: Safely guiding the client to the floor prevents injury from a fall during sudden loss of muscle control. This is the first priority when a seizure begins during ambulation. Protecting the client from trauma takes precedence over all other actions.

C. Provide supplemental oxygen: After the seizure activity subsides, oxygen may be needed to address hypoxia caused by impaired breathing during the seizure. Supplemental oxygen supports adequate tissue oxygenation during the postictal phase. This action follows airway positioning and stabilization.

D. Provide hygiene: Hygiene care is provided after the seizure once the client is stable, as incontinence or excessive secretions may have occurred. Maintaining cleanliness promotes comfort and dignity. This step is not urgent and is addressed after physiologic needs are met.

E. Initiate reorientation: Reorientation is performed last, during the postictal phase, when the client may be confused or disoriented. Calm reassurance and simple explanations help reduce anxiety and support neurologic recovery. This action is appropriate only once the client is alert and stable.

A. Place the client on bedrest: While limiting activity can prevent further strain, simply placing the client on bedrest does not immediately address airway compromise or improve oxygenation. Immediate interventions to relieve dyspnea take priority.

B. Obtain the client's ABG levels: Arterial blood gases provide valuable information about oxygenation and acid-base status, but drawing labs does not relieve acute respiratory distress. Assessment and interventions that improve breathing should come first.

C. Elevate the head of the client's bed: Elevating the head of the bed improves lung expansion, promotes oxygenation, and reduces the work of breathing. This is a primary, noninvasive intervention that directly addresses the client’s acute symptoms and should be implemented immediately.

D. Prepare the client for a ventilation perfusion scan: A V/Q scan helps diagnose pulmonary embolism but is a diagnostic measure. Diagnostic preparation does not take priority over interventions that relieve acute hypoxia and respiratory distress.