— 生理適應 · EASY · SATA —
護理師照護一位有癲癇病史的病人。下列哪些措施應包含在癲癇預防措施中？（選所有適合的）
A nurse is caring for a client with a history of seizures. Which interventions should the nurse include for seizure precautions? (Select all that apply.)
- AKeep a suction setup at the bedside✓ 正解在床邊準備抽吸設備
- BKeep bed rails up and padded✓ 正解拉起床欄並加墊
- CPlace the client on their side during a seizure✓ 正解癲癇發作時將病人置於側臥位
- DInsert a bite block during a seizure癲癇發作期間置入口咬塊
- EEnsure the client has an IV access✓ 正解確保病人有靜脈通路
— Explanation · 中文詳解 —
癲癇預防措施（Seizure precautions）的核心在於保障病人在發作期間的呼吸道通暢與避免身體傷害。措施包括維持周邊靜脈路徑（IV access）以便隨時給予止痙攣藥物、床欄加墊（Padded bed rails）以防碰撞、準備抽吸設備（Suction）以防嗆入，以及發作時保持側臥以保持呼吸道通暢。
Seizure precautions include keeping a suction setup at the bedside to prevent aspiration, padding bed rails to prevent injury, and placing the client in a side-lying position to maintain airway patency. Ensuring IV access allows for the rapid administration of emergency anticonvulsants, while bite blocks are contraindicated due to the risk of dental injury.