— 照護管理 · MEDIUM · MCQ —
護理師準備照顧有癲癇病史的病人，應執行什麼措施？
A nurse is preparing to care for a client with a history of seizures. What should be done?
- ARestrict the client to their bed限制病人卧床
- BPlace a padded tongue blade between the teeth during a seizure在發作期間將墊有布料的舌壓板置於齒間
- CEnsure suction equipment is available at the bedside✓ 正解確保床邊備有抽吸設備
- DKeep the side rails down at all times隨時將床欄放下
— Explanation · 中文詳解 —
癲癇（Seizure）照護的核心在於預防性環境安全與發作時的呼吸道保護。癲癇發作可能導致呼吸道分泌物增加或嘔吐物誤吸，因此在床邊備妥抽吸設備（Suction equipment）與氧氣（Oxygen）是標準安全預防措施（Safety Precaution）。護理師應評估環境，移除尖銳物品，並確保隨時可啟動緊急應變機制。
For a client with a history of seizures, ensuring that suction equipment is available at the bedside is a critical safety precaution to manage secretions and prevent aspiration during an episode. This preparation supports airway patency, which is the highest priority during a seizure event.
✦ 台美臨床差異
美國臨床對於癲癇病人的床欄設置通常有嚴格的評估標準（Fall risk protocol），且床邊設備（Oxygen/Suction）在入院時即需檢查並掛上標示，這是 NCLEX 常考的 Safety Precautions。