護理師照護一位有癲癇病史的病人,哪些安全防護措施是優先的?(選所有適合的)
A nurse is caring for a client with a history of seizures. What safety precautions are priorities? (Select all that apply.)
- AKeep suction equipment at the bedside✓ 正解將抽吸設備置於床旁
- BMaintain side rails in the up position✓ 正解保持床欄升起
- CInsert an oral airway when the seizure starts癲癇發作時插入口腔通氣管
- DLoosen clothing around the neck✓ 正解鬆開頸部周圍的衣物
- EPad the side rails✓ 正解加墊床欄
癲癇發作時的重點是維護病人安全。抽吸設備用於發作後清理呼吸道;床欄升起與加墊可防止撞擊外傷;鬆開頸部衣物可確保呼吸道通暢。嚴禁在癲癇發作時嘗試放入任何物體(如口咽呼吸道或壓舌板)到病人口中,因為這可能導致牙齒碎裂、牙齦受傷或造成呼吸道阻塞。
During a seizure, the focus is on maintaining the patient's safety. Suction equipment is used to clear secretions from the airway after the seizure; raising and padding the side rails prevents impact injuries; and loosening clothing around the neck helps ensure a patent airway. Inserting any object into the patient's mouth during a seizure (such as an oral airway or tongue blade) is strictly prohibited, as this may cause dental fractures, gum injuries, or airway obstruction.
美國醫學界已極力推廣「禁塞東西入嘴」;台灣部分傳統照護觀念可能仍有誤區,護理教育中需特別強化糾正。