— 安全與感染控制 · MEDIUM · SATA —
護理師照顧一位有癲癇病史的病人。應採取哪些安全預防措施？（選所有適合的）
A nurse is caring for a client with a history of seizures. Which safety precautions should be initiated? (Select all that apply.)
- AKeep padded side rails up✓ 正解保持加墊床欄升起
- BMaintain suction equipment at the bedside✓ 正解在床邊準備抽吸設備
- CRestrict all visitors from the room限制所有訪客進入房間
- DPlace an oral airway at the bedside在床邊放置口咽通氣管
- EKeep the bed in the lowest position✓ 正解保持床位處於最低位置
— Explanation · 中文詳解 —
癲癇病人安全護理重點在於預防跌倒與呼吸道阻塞。床欄加裝軟墊可避免撞傷，床位維持低位可預防墜床。吸痰設備需隨時準備以清除分泌物。請注意：現代護理標準已不建議強行置入口咽通氣管或壓舌板，以免造成口腔受傷或牙齒斷裂。
Safety precautions for clients with seizures prioritize fall prevention and airway management. The bed should be kept in the lowest position with padded side rails up to prevent injury, and suction equipment must remain accessible to clear secretions. Oral airways or tongue blades should never be forced into the mouth due to the high risk of dental damage and aspiration.
✦ 台美臨床差異
美台皆已不再推崇發作時於口腔強行放入異物，這與早期傳統護理做法不同。