護理師照顧一位有癲癇病史的病人。在全身陣攣性發作期間，哪項護理措施為優先？
A nurse is caring for a client with a history of seizures. Which intervention is the highest priority during a generalized tonic-clonic seizure?
- ATurn the client to the side✓ 正解將病人轉為側臥
- BRestrain the client to prevent injury約束病人以防止受傷
- CInsert a padded tongue blade into the mouth將加墊的壓舌板插入嘴中
- DAdminister an anticonvulsant medication IV靜脈注射給予抗癲癇藥物
癲癇發作時的優先護理重點為維護呼吸道暢通與預防誤吸。將病人轉向側面（側臥位）可避免嘔吐物或舌頭阻塞呼吸道，且能讓口水分泌物流出。約束病人會造成骨折或肌肉損傷，禁止強制壓制；塞入物體（含壓舌板）易造成牙齒斷裂或阻塞呼吸道；IV 給藥為後續處置，非發作當下的即時安全措施。
Priority during a seizure is maintaining airway patency and preventing aspiration. Turning the client to the side prevents vomit or tongue from obstructing the airway and allows secretions to drain. Restraining causes fractures or muscle injury and is prohibited; inserting objects (including padded tongue blade) can cause dental damage or airway obstruction; IV medication is later management, not the immediate safety priority.
兩地護理標準一致：癲癇發作時均不建議約束與塞入口內物。美國護理教學強調錄影發作時間與特徵，台灣亦同步，並強調緊急呼叫按鈕的使用。