What is the first priority nursing action when a child with epilepsy begins to have a seizure?

When managing a child experiencing a seizure, the top priority is to ensure their safety and prevent injury. Loosening any restrictive clothing is essential because it helps facilitate breathing and reduces the risk of the child feeling constrained during the seizure. Tight clothing can impede circulation or exacerbate discomfort, making it important to remove those constraints quickly.

A common misconception is that holding the child down might prevent injury; however, this can actually lead to increased risk of harm for both the child and the caregiver. Additionally, forcing the jaw open to maintain an airway is not recommended, as this can cause dental or oral injuries and may lead to further complications.

While calling for assistance might be necessary after ensuring the child is safe, the immediate action should focus on creating a safe environment during the seizure. Therefore, loosening restrictive clothing aligns with the priority of ensuring the child’s safety and comfort while experiencing a seizure.