護理師督導看護人員協助癲癇病史病患時，下列何種行為需立即介入？
A nurse is supervising an unlicensed assistive personnel (UAP) who is providing care to a client with a history of seizures. Which observation requires immediate intervention?
- AUAP positioning the client on their sideUAP將病患擺成側臥位
- BUAP loosening the client's clothing around the neckUAP鬆開病患頸部的衣物
- CUAP attempting to insert a tongue blade into the client's mouth during a seizure✓ 正解UAP在癲癇發作期間嘗試將舌壓板插入病患口中
- DUAP elevating the side rails of the bedUAP抬高床欄
護理照護癲癇病患的核心原則為「維護安全、防止受傷」。在癲癇發作時，護理師的首要任務是保護病患免於環境中的硬物碰撞，並確保呼吸道通暢。強行放入壓舌板或任何物品進入病人口中，極易造成病患牙齒斷裂、口腔黏膜撕裂，甚至因異物阻斷呼吸道導致窒息，這屬於必須立即介入的錯誤操作。正確的處置方式應為移除周遭危險物、保護頭部、協助病患側臥以利分泌物排出，並監測發作時間與特徵。
The core principle of caring for a client with seizures is to maintain safety and prevent injury. During a seizure, the nurse's first priority is to protect the client from hard surrounding objects and to maintain airway patency. Forcing a tongue blade or any object into the client's mouth easily causes broken teeth, lacerated oral mucosa, or even airway obstruction with foreign material, leading to suffocation; this is an action that requires immediate intervention. The correct approach is to remove surrounding hazards, protect the head, place the client in a side-lying position to allow secretions to drain, and monitor the duration and characteristics of the seizure.