— 安全與感染控制 · EASY · MCQ —
下列哪項評估發現需要護理師為病人執行癲癇發作預防措施？
Which assessment finding requires the nurse to implement seizure precautions for a client?
- ARecent onset of allergic rhinitis近期出現過敏性鼻炎
- BChronic constipation慢性便秘
- CHistory of a previous seizure disorder✓ 正解既往癲癇發作病史
- DMild hypertension輕度高血壓
— Explanation · 中文詳解 —
癲癇發作預防措施（Seizure precautions）的核心目的在於保障病人在突發意識喪失或肌肉抽搐時的物理安全。對於有癲癇病史的病人，隨時存在復發風險，因此護理師必須主動採取預防性介入。臨床上，這包括確保床欄加裝軟墊（Padding）以防撞傷、隨時備妥氧氣與抽吸設備以處理發作後的呼吸道分泌物或呼吸窘迫，並維持床位在最低位置以防止跌落。
A history of seizure disorder places the client at high risk for recurrent episodes, necessitating immediate implementation of seizure precautions to ensure physical safety. These measures include padding bed rails, keeping suction and oxygen equipment available, and maintaining the bed in a low position to prevent injury during potential convulsions.