— 降低風險 · MEDIUM · MCQ —
護理師照護一位癲癇病人，哪項動作是首要的？
Which action is priority when caring for a client who has a seizure disorder?
- APrepare for neurological assessment準備神經學評估
- BAdminister anticonvulsant medication施用抗癲癇藥物
- CDocument the time of the seizure記錄癲癇發作時間
- DEnsure the client's airway is clear✓ 正解確保病人呼吸道暢通
— Explanation · 中文詳解 —
面對癲癇（Seizure）病人，護理臨床優先順序（Priority）永遠遵循 ABC 原則（Airway, Breathing, Circulation）。發作期間，病人可能因舌頭後倒或唾液分泌導致呼吸道阻塞。保護呼吸道安全是首要行動，包括將病人側臥（Recovery position）以利分泌物排出，並移除周圍危險物品以防止受傷。給藥或評估應在確保呼吸道暢通後進行。
For a client with a seizure, priority always follows the ABC principle (Airway, Breathing, Circulation). During a seizure, the airway may be compromised by tongue displacement or secretions. Protecting the airway is the first action—turning the client to the side (recovery position) to drain secretions and removing nearby hazards to prevent injury. Medications or assessment come after airway patency is ensured.