— 基本照護與舒適 · EASY · MCQ —
照護有癲癇發作史的病人,床邊必須準備哪項物品以確保安全?
A nurse is caring for a client with a history of seizures. Which item must be present at the bedside for safety?
- ASuction equipment✓ 正解抽吸設備
- BMetal mouth gag金屬口咽通氣道(牙墊)
- CRestraints for extremities四肢約束帶
- DPadded tongue blade包紮過的壓舌板
— Explanation · 中文詳解 —
癲癇發作(Seizure)照護的首要任務是「病人安全」。傳統觀念如放置舌壓板或強行約束病人已證實有害,會導致牙齒斷裂、口腔損傷或骨折。現在的標準照護是:保護頭部、移除周邊危險物品、發作後清理呼吸道(必要時備妥抽吸設備),並監測生命徵象。床邊備妥抽吸設備是為了處理發作後可能產生的過多分泌物,防止吸入性肺炎。
The primary nursing goal during seizure care is ensuring patient safety by maintaining a patent airway. Suction equipment must be available at the bedside to clear secretions or vomitus immediately after a seizure, thereby preventing aspiration pneumonia. Traditional practices like using padded tongue blades or restraints are contraindicated as they pose significant risks of injury.