護理師監督輔助人員（AP）進行晨間護理，哪項行為需要立即介入？
A nurse is supervising an assistive personnel (AP) performing morning care. Which action by the AP requires immediate nurse intervention?
- AThe AP raises the bed height to a comfortable level for the client輔助人員將床墊調整至適合病人的舒適高度
- BThe AP documents the client's output in the electronic health record輔助人員在電子健康病歷中記錄病人的排出量
- CThe AP assists a client with a history of stroke to brush their teeth輔助人員協助有中風病史的病人刷牙
- DThe AP leaves the side rails down for a client who is on seizure precautions✓ 正解輔助人員將接受癲癇防護措施的病人的床欄放下
病人安全是護理照護的首要任務（Safety first）。針對癲癇（Seizure）病史的病人，預防跌倒與外傷是護理計畫的基礎。若病人有發作風險，未升起床欄（Side rails）將直接威脅病人生命安全，因為發作時的劇烈抽搐可能導致病人墜床。護理師身為監督者，對於輔助人員（AP）違反安全規範的行為，必須立即介入以防止不良後果發生。
Patient safety is the foremost priority in nursing care (Safety first). For a client with a history of seizures, preventing falls and injuries forms the foundation of the nursing care plan. If the client is at risk of seizing, failure to raise the side rails directly threatens patient safety, because violent convulsions during a seizure could cause the client to fall out of bed. As a supervisor, the nurse must immediately intervene when assistive personnel (AP) violate safety standards to prevent adverse outcomes.