護理師照顧一位發生強直陣攣發作（Tonic-clonic seizure）的病患時，應採取哪些行動？（選所有適合的）
Which actions should the nurse perform for a client experiencing a tonic-clonic seizure? (Select all that apply.)
- AProtect the head with a pillow✓ 正解以枕頭保護頭部
- BInsert a bite block or oral airway插入咬合板或口腔通氣管
- CLoosen restrictive clothing✓ 正解鬆開限制性衣物
- DTime the duration of the seizure✓ 正解記錄發作的持續時間
- ETry to restrain the client's movements嘗試限制案主的動作
癲癇發作時的護理核心是保護病患不受傷。A 避免腦部撞擊，C 有助於呼吸擴張，D 能提供醫師藥物評估參考。B 選項錯誤，禁止強行塞入口腔異物，恐造成牙齒斷裂或阻塞呼吸道。E 選項絕對禁止，強行約束反而會導致骨折或肌肉損傷。
The core of nursing care during a seizure is protecting the client from injury. Option A protects the head from impact, Option C supports respiratory expansion, and Option D provides reference data for the physician to evaluate pharmacologic treatment. Option B is incorrect: forcibly inserting an object into the mouth is prohibited because it can cause tooth fractures or airway obstruction. Option E is absolutely prohibited because attempts to restrain the client can cause fractures or muscular injury.
美台對癲癇急救原則一致，皆強調「不放入異物、不強力約束、記錄時間」。