護理師照護一位有癲癇病史的病人，下列哪些行動是優先的？（選所有適合的）
A nurse is caring for a client with a history of seizure disorder. Which actions are priority? (Select all that apply.)
- AKeep the bed in the lowest position✓ 正解將床調至最低位置。
- BPadded side rails✓ 正解加裝護墊的床欄。
- CInsert an oral airway during the seizure在發作期間插入口腔通氣管。
- DLoosen restrictive clothing✓ 正解鬆開限制性衣物。
- EPlace the client on their side✓ 正解將病人置於側臥位。
癲癇（Seizure disorder）病人的護理首重安全與呼吸道通暢。在發作期間，護理師的優先行動是保護病人免受物理性傷害（如環境淨空、低床、側臥位以防吸入性肺炎），並解開緊身衣物以利呼吸。絕對禁止在發作中強行將物品放入病人嘴中，這會造成牙齒斷裂或阻塞氣道。記錄發作時間、頻率與表現則是評估病情演變的關鍵依據。
Care for a client with a seizure disorder prioritizes safety and airway patency. During a seizure, the nurse's priority actions are to protect the client from physical injury (such as clearing the environment, lowering the bed, and side-lying position to prevent aspiration pneumonia), and to loosen restrictive clothing to facilitate breathing. Forcing any object into the client's mouth during a seizure is absolutely prohibited, as it can cause tooth fractures or airway obstruction. Documenting the time, frequency, and characteristics of the seizure is critical for evaluating disease progression.