護理師照顧一位有癲癇病史、入院觀察的病人。下列哪些安全措施是適當的？（選所有適合的）
A nurse is caring for a client with a history of seizures who is being admitted for observation. Which safety measures are appropriate? (Select all that apply.)
- APlace a padded tongue blade at the bedside.在床邊放置包覆軟墊的壓舌板
- BSet up suction equipment at the bedside.✓ 正解在床邊準備抽吸設備
- CEnsure the side rails are padded.✓ 正解確保床欄包覆軟墊
- DKeep the client in a private room with the door closed.讓病人住在單人房並關上房門
- EApply oxygen via nasal cannula at the bedside.✓ 正解在床邊以鼻導管給予氧氣
癲癇安全護理的核心是「防跌、防傷、防窒息」。在病床邊準備抽吸設備（B）是為了發作後清除口腔分泌物，維持呼吸道通暢。將病床圍欄加上襯墊（C）可預防發作時肢體強烈抽動撞擊硬物受傷。準備氧氣（E）能應對發作期間可能出現的暫時性缺氧。選項 A（壓舌板）是絕對禁忌，發作時不可強行塞入任何物品，否則會造成牙齒斷裂或阻塞呼吸道。選項 D 錯誤，高風險病人應靠近護理站且門應開啟以利隨時監控。這題強調了環境準備與安全（Safety）在基礎護理中的重要性。
The core of seizure safety care is preventing falls, preventing injury, and preventing aspiration. Setting up suction equipment at the bedside (B) is to clear oral secretions after a seizure and maintain airway patency. Padding the side rails (C) prevents injury when the limbs strike hard surfaces during forceful seizure activity. Providing oxygen (E) addresses the temporary hypoxia that may occur during the seizure. Option A (tongue blade) is absolutely contraindicated—nothing should be forced into the mouth during a seizure, as this can cause tooth fractures or airway obstruction. Option D is incorrect, since high-risk clients should be near the nurses' station with the door open for continuous monitoring. This question emphasizes the importance of environmental preparation and safety in basic nursing care.
美國 NCLEX 考題極其強調「Seizure Precautions」不包含壓舌板，且會考查床邊備物清單。台灣部分醫院仍有使用壓舌板的習慣，護理師應依據最新實證，推動「不強塞、不約束」的安全共識。