護理師正在監督一位照顧癲癇病史病人的新進護理師。下列哪項行為需要督導介入？
A nurse is supervising a newly licensed nurse who is caring for a client with a history of seizures. Which action by the new nurse requires intervention?
- ALoosening restrictive clothing around the client's neck鬆開病人頸部的緊身衣物
- BTurning the client to a side-lying position將病人轉為側臥姿勢
- CPlacing a padded tongue blade at the bedside✓ 正解在床邊放置包墊的壓舌板
- DClearing the environment of hard objects清除環境中的硬物
癲癇發作時的護理核心在於病人安全與保護。現代實證醫學已明確禁止在病人抽搐時強行開啟其口腔或放入任何異物（包含壓舌板），因為這極易導致牙齒斷裂、軟組織受傷，甚至造成異物吸入引發窒息。護理師應優先移除周遭危險物、保護病人頭部，並在發作停止後採取側臥姿勢（Recovery position）以維持呼吸道通暢。
The core of nursing care during a seizure is patient safety and protection. Modern evidence-based practice clearly prohibits forcibly opening the patient's mouth or inserting any object (including a padded tongue blade) during a seizure, because doing so readily causes tooth fractures, soft tissue injuries, and even foreign-body aspiration leading to airway obstruction. The nurse should prioritize removing surrounding hazards, protecting the patient's head, and after the seizure stops, placing the patient in a lateral (recovery) position to maintain a patent airway.
台灣早期臨床教育偶有提及使用壓舌板，但現代 NCLEX 與美國臨床標準已完全禁止此行為，請務必與過時觀念切割。