護理師照護一位有癲癇病史的病人，應執行哪些預防措施以確保安全？（選所有適合的）
A nurse is caring for a client with a history of seizures. Which precautions should the nurse implement to ensure client safety? (Select all that apply.)
- AKeep padded side rails up at all times✓ 正解隨時保持加襯墊的床欄拉起
- BMaintain a patent airway by inserting a tongue blade during the seizure在發作期間插入壓舌板以保持呼吸道通暢
- CPlace the client in a side-lying position during a seizure✓ 正解在發作期間將病人置於側臥姿勢
- DRemove sharp or hard objects from the environment✓ 正解移除環境中的尖銳或硬物
- ELoosen restrictive clothing around the neck✓ 正解鬆開頸部周圍限制性衣物
癲癇發作防護重點在避免創傷、保護氣道。A 提供緩衝；C 側臥防吸入嘔吐物；D 移除銳器防碰撞；E 保持呼吸道順暢。B 錯誤：絕對嚴禁發作時將任何物體（如壓舌板）插入病人口中，這極易導致牙齒斷裂掉入氣道造成阻塞。
The focus of seizure precautions is to prevent trauma and protect the airway. Option A provides padding to cushion the patient. Option C, side-lying position, prevents aspiration of vomitus. Option D removes sharp objects to prevent injury from impact. Option E keeps the airway open. Option B is incorrect: it is strictly forbidden to insert any object (such as a tongue blade) into the patient's mouth during a seizure, as this can easily break teeth and lead to airway obstruction by aspirated fragments.
關於壓舌板的禁忌，兩地目前教學觀念一致，皆明確禁止發作時強行塞入物體。