— 降低風險 · MEDIUM · SATA —
對於有癲癇病史的病人，下列哪些護理行動是適當的？（選所有適合的）
Which of the following nursing actions are appropriate for a client with a history of seizures? (Select all that apply.)
- AKeep a suction setup at the bedside✓ 正解在床邊備妥抽吸設備
- BPad the side rails✓ 正解加墊床欄
- CMaintain the client in a supine position at all times始終讓客戶保持仰臥姿勢
- DRemove unnecessary objects from the room✓ 正解移除房間內不必要的物品
- EEnsure the bed is in the lowest position✓ 正解確保床處於最低位置
— Explanation · 中文詳解 —
針對癲癇病史病人的護理核心在於「預防傷害」與「環境安全」。癲癇發作時，病人無法控制肢體與意識，因此需移除周遭障礙物以防碰撞，確保床欄加墊以減緩撞擊，並將床位調低至最低位置以防墜床。床邊備有抽吸設備則是為了在發作後（Postictal phase），若病人出現嘔吐或過多口腔分泌物時，能立即清理呼吸道，防止吸入性肺炎。
Nursing care for clients with a seizure history focuses on environmental safety and airway management. The room should be free of hazardous objects, side rails padded, and the bed positioned low to minimize injury risks. A suction setup must be available at the bedside to clear secretions during the postictal phase, while maintaining the client in a side-lying position to prevent aspiration.