— 安全與感染控制 · MEDIUM · SATA —
護理師應將哪些安全措施納入癲癇病人的照護計畫中？（選所有適合的）
A nurse is caring for a client with a history of seizures. Which actions should the nurse include in the client's safety plan? (Select all that apply.)
- APadding the side rails of the bed✓ 正解包覆病床的床欄
- BRestraining the client's arms during a seizure在癲癇發作期間約束病人的手臂
- CMaintaining a suction setup at the bedside✓ 正解在床邊維持抽吸設備
- DPlacing a tongue blade in the client's mouth將壓舌板放入病人口中
- EKeeping the bed in the lowest position✓ 正解保持病床處於最低位置
— Explanation · 中文詳解 —
癲癇（Seizure）病人的安全照護重點在於「防止發作時的二次傷害」，而非強行中止發作。護理師應確保環境無尖銳物，並在發作時保護頭部。抽吸設備（Suction）的準備是為了在發作後若病人出現嘔吐或大量分泌物時，能即時維持呼吸道通暢。核心思路是維護 ABC（呼吸道、呼吸、循環），並在發作期間保持冷靜。
Safety planning for a client with seizures focuses on preventing secondary injury and maintaining airway patency. Padding side rails and keeping the bed in the lowest position protect the client from falls and impact injuries during convulsions. Maintaining a suction setup at the bedside is essential to clear secretions and prevent aspiration, whereas restraining the client or placing objects in the mouth can cause harm.