護理師為一位有陣攣性癲癇病史的病人規劃護理計畫，應包含下列哪些內容？（選所有適合的）
A nurse is caring for a client with a history of tonic-clonic seizures. Which of the following should be included in the care plan? (Select all that apply.)
- AHave an oral airway available at the bedside在床邊準備口咽通氣道
- BKeep side rails up and padded✓ 正解保持床欄拉起並加裝防撞墊
- CLoosen restrictive clothing✓ 正解鬆開緊身衣物
- DInsert a tongue blade into the mouth during seizure在癲癇發作期間將壓舌板插入口中
- ETurn the client to the side during seizure✓ 正解在癲癇發作期間將病人轉為側臥
癲癇（Seizure）護理的核心是「保護病人免受傷害」。護理計畫必須涵蓋預防跌倒、防止誤吸及維護氣道通暢。發作時，護理師應保持冷靜，不強行束縛，確保病人側臥以利口水分泌物引流，並清理周圍危險物品。現代護理標準明確禁止在發作時將任何物體（如壓舌板）放入病人口中，以免導致牙齒斷裂或阻塞呼吸道。床欄必須加裝防撞墊（Padded side rails）以防病人撞傷。
The primary goal in seizure care is protecting the client from injury and maintaining airway patency. Side rails should be padded to prevent trauma if the client falls, and restrictive clothing should be loosened to facilitate breathing. Turning the client to the side during a seizure helps drain secretions and prevents aspiration. Oral airways or tongue blades should never be forced into the mouth, as this can cause dental injury or airway obstruction.
美國醫院對於癲癇防護非常重視「預防性防撞墊」（Seizure pads），且在病人安全準則中，強烈禁止對發作中的病人進行任何侵入性口部操作，這點在美國 NCLEX 考試中是絕對的考點。