護理師照護癲癇病史的病人,床邊最重要的安全設備為何?
A nurse is caring for a client with a history of seizures. What is the most important safety equipment to have at the bedside?
- AA padded tongue blade帶襯墊的壓舌板
- BSuction equipment✓ 正解抽吸設備
- CA tongue depressor壓舌板
- DAn oral airway口腔氣道
核心概念:癲癇(Seizure)病人床邊的安全設備。 為何正確答案對: B. 癲癇發作時,病人可能出現分泌物過多、口腔黏膜破損等情況,若發生嘔吐或誤吸,可能導致呼吸道阻塞。準備抽吸設備(Suction equipment)能及時清除呼吸道分泌物,維持呼吸道通暢,這是預防窒息和缺氧的關鍵安全措施。 為何其他選項錯: A. 口腔氣道(Oral airway)僅在病人無咳嗽反射且需要維持舌後固定時使用,且通常在發作結束後、病人意識恢復前評估是否需要,並非發作期間的首要安全設備。 C. 壓舌板(Tongue depressor)和 A. 帶襯墊的壓舌板(Padded tongue blade)已被證實是危險且無效的,可能導致牙齒斷裂、下顎損傷或阻塞呼吸道,不再推薦使用。
Suction equipment is the most critical safety item at the bedside for a client with a seizure history to prevent aspiration of secretions, vomitus, or blood and maintain a patent airway. Padded tongue blades and oral airways are no longer recommended as they pose significant risks of dental injury, jaw trauma, and airway obstruction during convulsions.