— 降低風險 · EASY · MCQ —
護理師照護一位有癲癇病史的病人，下列哪項設備最重要且應放置在床邊？
A nurse is caring for a client with a history of seizures. Which equipment is most important to keep at the bedside?
- AA tracheostomy tray氣管切開術盤。
- BSuction equipment and an airway✓ 正解抽吸設備和氣道。
- CSoft restraints軟質約束帶。
- DA padded tongue blade包墊舌壓板。
— Explanation · 中文詳解 —
對於癲癇發作的病人，最常見的風險是呼吸道阻塞與缺氧。準備吸引器與口咽呼吸道可確保在病人意識不清或口腔分泌物增多時，能即時清理呼吸道，維持氧氣交換。其他選項如舌壓板已被證實會造成牙齒受損，軟約束則增加受傷風險，氣切盤非癲癇發作的常規預防設備。
Suction equipment and an airway are the most important items to keep at the bedside to maintain airway patency during and after a seizure. Seizures often result in increased oral secretions and loss of consciousness, creating a high risk for aspiration and hypoxia. Soft restraints and tongue blades are contraindicated as they can cause injury, while a tracheostomy tray is not routinely indicated for seizure precautions.
✦ 台美臨床差異
台美臨床皆已摒棄舌壓板，但美國護理照護標準對癲癇病人床邊設備的檢查清單更為細緻。