During seizure management, which action is contraindicated?

• A. Inserting any objects into the mouth.
• B. Protecting the patient from injury.
• C. Opening the airway and monitoring breathing.
• D. Transport after seizure ends.

Answer: (A)

In seizure management, the action that should be avoided is putting objects into the person’s mouth. This is contraindicated because it can cause serious harm without providing any real benefit. An object in the mouth can injure teeth, lips, or the tongue, and it can break or slip and become a choking or airway- obstruction hazard if the person bites down or shifts. It also doesn’t prevent the tongue from blocking the airway in a way that helps; the tongue is not the dangerous force the myth suggests, and attempting to hold or place objects does not stop a seizure from continuing or prevent complications.

The safer approach is to protect the person from injury, clear the area of sharp or hard objects, and, after the seizure ends, place them on their side in the recovery position to help keep the airway clear and to prevent aspiration if they vomit. Monitor breathing and responsiveness throughout, and seek advanced care if the seizure lasts longer than a few minutes, if another seizure follows immediately, or if there are concerns such as injury, pregnancy, diabetes, or if the person is not recovering normally. Transport after a seizure ends is appropriate when indicated, not contraindicated.