— 降低風險 · EASY · SATA —
護理師照護一位有癲癇病史的病人，床邊應備有哪些設備？（選所有適合的）
A nurse is caring for a client with a history of seizures. Which equipment should be at the bedside? (Select all that apply.)
- AOxygen setup✓ 正解氧氣設備
- BSuction equipment✓ 正解抽吸設備
- CPadded side rails✓ 正解加墊護欄
- DTongue depressor壓舌板
- EEmergency call button✓ 正解緊急呼叫按鈕
— Explanation · 中文詳解 —
癲癇發作時，護理重點為預防受傷及維持呼吸道通暢。氧氣與抽吸設備是為了處理發作後的呼吸道分泌物或缺氧。床欄加軟墊是為了防止病人在痙攣時撞傷。絕對不可在癲癇發作時強行放入壓舌板，以免造成牙齒斷裂或吸入性異物，該選項為過時觀念。
Bedside equipment for a client with seizures should include oxygen and suction to manage potential airway obstruction and hypoxia post-ictally. Padded side rails help prevent injury during violent muscle contractions, and an emergency call button ensures immediate assistance if status epilepticus occurs. Tongue depressors are contraindicated as inserting objects into the mouth can cause dental injury or aspiration.
✦ 台美臨床差異
美台對癲癇安全照護準則一致，兩者皆已摒棄強制放置壓舌板的過時做法。