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安全與感染控制 · MEDIUM · MCQ

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
Explanation · 中文詳解

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.

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