對於出現酒精戒斷症狀的個案，護理師採取哪種介入最有效？
Which intervention is most effective for a nurse to manage a client experiencing alcohol withdrawal?
- ARestrict all fluid intake限制所有液體攝取
- BEncourage group therapy participation immediately鼓勵立即參與團體治療
- CAdminister high-dose sedative medications indiscriminately不分情況給予高劑量鎮靜藥物
- DInitiate seizure precautions✓ 正解啟動防癲癇 precautions
酒精戒斷最危險的併發症為震顫譫妄（DTs）與癲癇發作。因此，首要措施為維護安全，採取癲癇預防措施（如床欄、抽吸設備）。B 階段太早，病人無法參與；C 需要醫囑且需監測，不能任意給予；D 酒精戒斷常伴隨脫水，反而需維持水分與電解質平衡。
The most dangerous complications of alcohol withdrawal are delirium tremens (DTs) and seizures. Therefore, the priority intervention is to maintain safety and implement seizure precautions (such as padded side rails and suction equipment). B is too early-stage; the client cannot participate at this point. C requires a physician's order and monitoring and cannot be given indiscriminately. A is incorrect because alcohol withdrawal is often accompanied by dehydration, so hydration and electrolyte balance must be maintained.
美國常使用 CIWA-Ar 量表進行結構化護理，台灣亦推廣此工具，但在人力不足時，觀察細緻度可能受影響。