— 生理適應 · EASY · MCQ —
一位有癲癇病史的病人。發作後護理師應記錄哪些內容？
A nurse is caring for a client with a history of seizures. What should the nurse document after a seizure event?
- AThe client's favorite food病人最喜歡的食物
- BThe specific medication given給予的特定藥物
- CThe duration of the seizure✓ 正解發作的持續時間
- DThe number of visitors present在場的訪客人數
— Explanation · 中文詳解 —
癲癇（Seizure）發作後的護理紀錄對於醫師診斷與藥物調整至關重要。重點記錄項目包括：發作的持續時間（Duration）、發作前兆（Aura）、發作時的動作特徵（如肢體抽動、意識喪失）、發作後狀態（Postictal state，如嗜睡、混亂）。準確的時長紀錄能幫助區分是否為癲癇重積狀態（Status epilepticus），這是緊急處置的關鍵。
Documenting the duration of a seizure is critical for assessing severity and determining if the client is experiencing status epilepticus, a medical emergency. Accurate records of seizure length, along with pre-ictal and post-ictal states, guide physician diagnosis and medication adjustments. Other details like visitor counts or personal preferences are not clinically relevant to the event itself.