護理師照護一位有癲癇病史的病人。下列哪些措施能預防受傷？（選所有適合的）
A nurse is caring for a client with a history of seizures. Which interventions prevent injury? (Select all that apply.)
- APadding the side rails✓ 正解加墊床欄
- BKeeping the bed in the low position✓ 正解將床位保持在低位
- CPlacing a bite block in the mouth during a seizure在癲癇發作期間於口中放置咬嘴
- DRemoving hazardous objects from the environment✓ 正解移除環境中的危險物品
- EStaying with the client during an episode✓ 正解在發作期間陪伴病人
癲癇（Seizure）照護的核心在於預防受傷與維持病人安全。護理措施應著重於環境改造與保護性防護。加墊床欄可避免抽搐時撞擊導致外傷；低床位可減少跌落風險；移除環境中的危險物品可避免肢體受傷；全程陪伴則是為了監測發作過程、確保呼吸道通暢以及評估發作特徵。這些措施均符合 NCLEX 對於安全照護的優先原則。
The core of seizure care is injury prevention and patient safety. Nursing measures should focus on environmental modification and protective measures. Padding side rails prevents trauma from violent convulsions striking the rails; a low bed position reduces fall risk; removing hazardous objects from the environment prevents limb injury; staying with the client throughout an episode allows monitoring the course, ensuring airway patency, and assessing seizure characteristics. These measures align with NCLEX safety care priorities.
美國臨床對於癲癇照護極度強調「不干預發作過程」，特別是絕對禁止將手指或異物放入病人口中。台灣部分傳統觀念仍有放入咬口器的習慣，但在 NCLEX 考試中必須嚴格遵守「不可放入異物」的原則。