護理師督導一名護理助理（AP）照顧一位有癲癇病史的病人。AP 的哪項動作需要立即介入？
A nurse is supervising an assistive personnel (AP) providing care for a client with a history of seizures. Which action by the AP requires immediate intervention?
- AThe AP records the duration of the seizure activity護理助理記錄癲癇發作的持續時間
- BThe AP inserts a padded tongue blade into the client's mouth✓ 正解護理助理將加墊的壓舌板插入病人口中
- CThe AP places the client on their side during a seizure護理助理在癲癇發作期間將病人置於側臥
- DThe AP loosens restrictive clothing around the client's neck護理助理鬆開病人頸部周圍限制性衣物
癲癇發作（Seizure）時的護理重點在於「保護安全」而非「干預動作」。現代護理指引已明確指出，嚴禁在病人抽搐時強行將任何物體（包括壓舌板）置入病人嘴中，因為這極易造成病人牙齒斷裂、口腔黏膜撕裂傷，甚至碎片掉入呼吸道導致窒息。護理師應督導護理助理（AP）採取正確的側臥姿勢（Recovery position）以保持呼吸道暢通，並移除周圍尖銳物品以防受傷。
During a seizure, the nursing focus is on 'protecting safety' rather than 'interfering with the convulsion.' Current nursing guidelines clearly state that no object (including a padded tongue blade) should be forced into the mouth of a seizing client, as it readily causes dental fractures, lacerations of the oral mucosa, and even airway obstruction from fragments. The nurse should supervise the assistive personnel (AP) to position the client laterally (recovery position) to maintain a patent airway, and remove sharp objects from the surroundings to prevent injury.
台灣部分老舊臨床觀念中仍有放置壓舌板的錯誤習慣，但台灣護理教育與國際標準（如 NCLEX）已全面修正為「禁止放置任何異物」。