— 降低風險 · EASY · SATA —
護理師照護一位有癲癇病史的病人，床邊應放置哪些設備？（選所有適合的）
A nurse is caring for a client with a history of seizures. Which of the following should be placed at the bedside? (Select all that apply.)
- AOxygen setup✓ 正解氧氣設備
- BSuction equipment✓ 正解抽吸設備
- CPadded side rails✓ 正解加墊床欄
- DTongue depressor壓舌板
- EIV access supplies靜脈通路用品
— Explanation · 中文詳解 —
癲癇發作時的優先護理為維持呼吸道暢通與預防受傷。床邊必須準備氧氣與抽痰設備，以應對發作後的缺氧或分泌物過多。床欄應加墊以防撞傷。注意：現代護理標準已不建議強制放置壓舌板（Tongue depressor），因易導致口腔與牙齒受損或吸入風險。
Priority nursing care for a client with a seizure history focuses on maintaining a patent airway and preventing injury. Oxygen and suction equipment must be kept at the bedside to manage potential hypoxia and secretions, while padded side rails protect against self-injury during convulsions. Tongue depressors are contraindicated as they pose a risk of dental trauma and airway obstruction.
✦ 台美臨床差異
美台護理教育均已移除「放置壓舌板」作為癲癇床邊常規，強調保護頭部與側臥。