After a client has a seizure and loses consciousness, what should the nurse prioritize in their assessment?

After a client has a seizure and loses consciousness, the priority in the assessment is to check airway patency. During a seizure, the risk of airway obstruction increases due to the relaxation of throat muscles and the possibility of the client becoming unresponsive. Ensuring that the airway is clear and unobstructed is crucial, as it directly impacts the client’s ability to breathe and receive adequate oxygenation. If the airway is compromised, it could lead to significant respiratory distress or hypoxia, which can have serious consequences.

Assessing for muscle rigidity, monitoring heart rate, and determining seizure duration are important aspects of postictal assessment, but they should follow the immediate action of securing the airway. If the airway is not addressed first, the client could face greater health risks, making it the highest priority.