一位有癲癇病史的病人發生癲癇發作，下列哪些護理措施是正確的？（選所有適合的）
A nurse is caring for a client with a history of seizures. Which interventions are appropriate for a seizure in progress? (Select all that apply.)
- AClear the area of hard objects✓ 正解清除區域內的硬物
- BInsert a bite block or tongue depressor插入咬塊或舌壓板
- CTurn the client to their side✓ 正解將病人轉為側臥
- DRestrain the client's limbs to prevent injury約束病人的四肢以防止受傷
- ETime the duration of the seizure✓ 正解記錄發作的持續時間
癲癇發作（Seizure）時的護理核心是「安全優先」（Safety First），目標是保護病人免於物理性傷害，並確保呼吸道通暢。護理師應移除周圍硬物、保持病人側臥以防吸入嘔吐物，並記錄發作時間以評估是否有癲癇重積狀態（Status epilepticus）。絕不可嘗試約束病人肢體或強行放入異物，這會造成骨折或牙齒斷裂。
The core of nursing care during a seizure is 'safety first.' The goal is to protect the client from physical injury and to maintain a patent airway. The nurse should move hard objects away from the client, keep the client in a side-lying position to prevent aspiration of vomitus, and document the duration of the seizure to evaluate for status epilepticus. The nurse must never attempt to restrain the client's limbs or force any object into the mouth, as this can cause fractures or broken teeth.
美國臨床更強調「不干預抽動的肢體」（Do not restrain），且若發作超過 5 分鐘（部分指引為 3 分鐘），需立即啟動緊急醫療程序或準備給予靜脈注射苯二氮平類藥物（Benzodiazepines）。