— 基本照護與舒適 · MEDIUM · SATA —
針對有癲癇病史的病人，哪些護理措施能促進安全？（選所有適合的）
Which interventions are appropriate for a client with a history of seizures to promote safety? (Select all that apply.)
- APadding the side rails✓ 正解在床栏上铺设软垫
- BKeeping the bed in the lowest position✓ 正解将床置于最低位置
- CRemoving objects from the immediate environment✓ 正解移除周围环境的物品
- DForcing the client to remain still during seizure强制病人在癫痫发作期间保持静止
- EProtecting the head from injury✓ 正解保护头部免受伤害
— Explanation · 中文詳解 —
癲癇發作時的護理重點在於「保護病人免受環境傷害」而非「制止發作」。強制固定病人只會導致骨折或肌肉撕裂，且增加護理師受傷風險。安全措施包括移除周圍危險物品、保護頭部以免撞擊、將床降至最低以預防墜床，以及在床欄加墊以緩衝肢體撞擊。發作後應將病人轉為側臥位（Recovery Position）以保持呼吸道通暢。
Safety measures for clients with seizure disorders include padding side rails to prevent injury, keeping the bed in the lowest position to minimize fall risk, removing environmental hazards, and protecting the head during the ictal phase. Forcing the client to remain still is contraindicated as it may cause musculoskeletal injury.