— 基本照護與舒適 · EASY · MCQ —
一位有癲癇病史的病人。床邊最重要的是哪項設備？
A nurse is caring for a client with a history of seizures. Which equipment is most important to have at the bedside?
- ATongue depressor舌壓板
- BEmergency tracheostomy kit緊急氣管切開包
- CHard restraints硬式約束帶
- DPadded side rails✓ 正解加墊床欄
— Explanation · 中文詳解 —
癲癇發作時的保護重點是防止撞傷，床欄加墊（Padded side rails）能提供緩衝。過去常用的壓舌板（A）現已被證實會造成牙齒受傷或口腔軟組織損害，已禁止使用；約束（C）與緊急氣切（B）非癲癇發作時的床邊預防配備。
Padded side rails are the most important equipment to have at the bedside for a client with a history of seizures, as they provide necessary cushioning to prevent injury during convulsions. Tongue depressors are contraindicated due to the risk of oral trauma, and hard restraints can cause musculoskeletal damage. Emergency tracheostomy kits are not routine bedside equipment for seizure management.
✦ 台美臨床差異
美國醫院已嚴格禁止在癲癇發作時放入任何異物；台灣臨床仍需持續倡導此正確觀念。