— 生理適應 · EASY · MCQ —
照顧一位正處於癲癇發作的病人，哪項行動是優先事項？
Which action is priority when caring for a client who is actively seizing?
- ATurn the client to the side✓ 正解將個案轉為側臥
- BRestrain the client's extremities約束個案的四肢
- CAdminister IV lorazepam給予靜脈注射勞拉西泮
- DInsert a padded tongue blade插入包覆軟墊的壓舌板
— Explanation · 中文詳解 —
癲癇發作期間的護理首重呼吸道安全。將病人側臥（Recovery position）可防止嘔吐物吸入窒息。絕對禁止強行塞入壓舌板（造成牙齒損傷）或束縛肢體（造成骨折），藥物治療需在醫師評估下進行，安全擺位是護理第一要務。
During an active seizure, the priority is maintaining a patent airway and preventing aspiration by turning the client to the side. Restraining extremities or forcing objects into the mouth can cause fractures or dental injury. While administering IV lorazepam is part of treatment, ensuring physical safety and airway protection takes precedence.
✦ 台美臨床差異
台美對於癲癇發作的「禁止塞入硬物」共識一致，皆強調側臥與移開周邊尖銳物品。