護理師督導助理人員（UAP）照顧癲癇病史的病人。下列哪項觀察顯示該助理人員的護理執行是安全的？
A nurse is supervising an unlicensed assistive personnel (UAP) who is providing care for a client with a history of seizures. Which observation by the nurse indicates that the UAP is performing safe care?
- ATurning the client to the side during a tonic-clonic seizure✓ 正解在強直-陣攣性發作期間將病人轉為側臥
- BPlacing a padded tongue blade in the client's mouth when a seizure begins當發作開始時，在病人嘴裡放置加墊的壓舌板
- CAttempting to feed the client immediately after the post-ictal phase嘗試在發作後期立即餵食病人
- DRestraining the client's extremities to prevent injury during a seizure束縛病人的四肢以防止發作期間受傷
癲癇發作時的標準安全規範為維護呼吸道通暢與防止誤吸。側臥位能有效幫助口咽分泌物排出，防止呼吸道阻塞。其他選項皆有危險性，如塞入異物會損壞口腔、束縛可能造成骨折，發作後病人意識尚未完全清醒，強迫進食易導致嗆咳窒息。
Safety standards during seizure focus on maintaining airway patency and preventing aspiration. Side-lying position allows oral secretions to drain, preventing airway obstruction. Other options are dangerous: inserting objects can damage the mouth; restraint may cause fractures; feeding during postictal phase before full consciousness recovers risks choking and aspiration.
台美臨床對於癲癇發作的「側臥」原則一致，但美國護理師常需教導 UAP 正確的 seizure precautions，台灣則較常由護理師親自執行。