哪種評估發現要求護理師為病人啟動癲癇發作預防措施？
Which assessment finding requires the nurse to initiate seizure precautions for a client?
- ARecent onset of high-grade fever近期出現高燒
- BHistory of generalized tonic-clonic seizures✓ 正解有全身性強直-陣攣性發作病史
- CReport of occasional tension headaches偶爾主訴緊張性頭痛
- DPrescribed medication for mild anxiety處方用於輕度焦慮的藥物
癲癇預防措施（Seizure precautions）旨在確保高風險病人在發作時能最大程度降低受傷機率。臨床上，對於有明確癲癇發作病史的病人，入院後應即刻執行標準化預防措施，包括床欄加墊（防止碰撞）、保持床位低位、病室內備有抽吸設備與氧氣面罩。這屬於預防性護理（Prophylactic care）的一環，而非針對突發症狀的治療。
Seizure precautions are designed to ensure that high-risk clients have the lowest possible chance of injury when a seizure occurs. Clinically, for a client with a documented history of seizures, standardized precautions should be initiated immediately upon admission, including padded side rails (to prevent impact), keeping the bed in the low position, and having suction equipment and an oxygen mask available at the bedside. This belongs to prophylactic care rather than treatment of an acute symptom.