A client is brought to the emergency room via ambulance accompanied by her sister. The sister states, “She was playing cards with us and had a seizure. Then she had another seizure just as the first one was stopping, so I called the ambulance.” The client is currently not demonstrating any seizure activity, her eyes are closed, and she does not respond to commands. Which intervention should the nurse implement first?
1. Make sure suction equipment is set up bedside.
2. Draw blood for a phenytoin (Dilantin) level.
3. Assess the client's vital signs.
4. Prepare the client for a head computed tomography (CT).
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