— 照護管理 · EASY · MCQ —
一位護理師正在接收入院一位有癲癇病史的病人。哪項安全措施是優先的？
A nurse is admitting a client with a history of seizures. Which safety measure is a priority?
- APlacing the client in restraints.將病人約束固定
- BAdministering anticonvulsant medication.給予抗癲癇藥物
- CKeeping the client NPO.使病人禁食 (NPO)
- DEnsuring a clear environment around the bed.✓ 正解確保床邊環境無障礙
— Explanation · 中文詳解 —
癲癇病人入院時，護理的核心原則是「預防性安全措施」。癲癇發作（Seizure）往往突然發生，若環境中有尖銳、硬質或障礙物，病人發作時的抽搐動作極易導致身體碰撞、挫傷或頭部外傷。因此，優先確保環境安全（如移除床邊障礙物、將床欄上鎖並鋪設軟墊）是預防傷害的第一道防線。給藥、禁食或約束均非入院時預防意外受傷的緊急優先事項。
The priority safety measure for a client with a history of seizures is ensuring a clear environment around the bed to prevent injury from falls or collisions during sudden convulsions. This includes removing obstacles and padding hard surfaces. Restraints are not routine, and while medication is important, immediate environmental safety takes precedence upon admission.