護理師照護一位有癲癇病史的病人，應採取哪些措施以確保病人安全？（選所有適合的）
A nurse is caring for a client with a history of seizures. Which of the following precautions should the nurse implement to ensure client safety? (Select all that apply.)
- AKeep a padded tongue blade at the bedside在床邊備妥包墊的壓舌板
- BMaintain bed in the lowest position✓ 正解維持病床處於最低位置
- CEnsure suction equipment is available and functioning✓ 正解確保抽吸設備可用且運作正常
- DKeep the side rails up and padded✓ 正解拉起包墊的床欄
- EEstablish an IV access line with a large-bore cannula建立大口径導管的靜脈通路
癲癇發作時的護理重點在於保護頭部、保持呼吸道暢通並預防跌倒。絕對禁止放置壓舌板於口腔，以免造成牙齒斷裂或吸入性肺炎。維持床欄安全防護並放置床邊抽吸設備是標準照護，IV 建立雖重要，但非癲癇常規的安全預防項目。
The focus of nursing care during a seizure is to protect the head, maintain a patent airway, and prevent falls. Inserting a tongue blade into the mouth is absolutely contraindicated, as it can cause dental fractures or aspiration pneumonia. Maintaining padded side rails and keeping suction equipment at the bedside are standard care measures; while IV access is important, it is not a routine environmental safety precaution for seizure prevention.
美國護理界已完全摒棄壓舌板的使用；台灣臨床偶見傳統教育仍殘存此觀念，需要持續進行實證護理教育。