護理師照護一位有癲癇病史的病人。護理計畫應包含哪些措施？（選所有適合的）
A nurse is caring for a client with a history of seizures. Which interventions should be included in the care plan? (Select all that apply.)
- APadding the side rails of the bed✓ 正解在床欄加裝保護墊
- BKeeping oral suction equipment at the bedside✓ 正解在床邊備妥口腔吸引設備
- CRestraining the client during a seizure在癲癇發作期間約束病人
- DEnsuring a patent IV access site is available✓ 正解確保靜脈通路暢通可用
- EPlacing a tongue blade in the mouth during a seizure在癲癇發作期間將壓舌板放入口中
癲癇護理首重「安全與氣道維持」。護理計畫應包含防護措施以預防病人發作時撞傷，並準備緊急設備以備呼吸道受阻時使用。臨床思路強調：絕對禁止在發作時強行束縛病人或強行開啟口腔放入異物，這些行為極易造成骨折、牙齒斷裂或吸入性肺炎。維持靜脈路徑是為了在癲癇重積狀態（Status Epilepticus）時能快速給予抗癲癇藥物。
Seizure care prioritizes patient safety and airway management by padding side rails to prevent injury and keeping oral suction equipment accessible to clear secretions. Maintaining patent IV access is essential for administering emergency anti-seizure medications during status epilepticus. Nurses must never restrain the client or insert objects into the mouth, as these actions significantly increase the risk of fractures, dental damage, or aspiration.