一位護理師正在接收入院一位有癲癇病史的病人。護理師應實施哪項措施以確保病人安全?(選所有適合的)
A nurse is admitting a client with a history of seizures. Which intervention should the nurse implement to ensure client safety? (Select all that apply.)
- APad the side rails of the bed.✓ 正解加墊床欄
- BPlace the client in a room with a sitter.將病人安置在有陪護者在場的房間
- CEnsure suction equipment is readily available.✓ 正解確保抽吸設備隨時可用
- DKeep the client's bed in the lowest position.✓ 正解將病床保持在最低位置
- EAdminister a scheduled anticonvulsant.按時給予抗癲癇藥物
預防癲癇病人跌倒受傷,應採取多項措施:床邊加墊、確保抽吸設備備妥(以防發作時阻塞)、床鋪放最低。病人隔離(sitter)非標準措施,除非有特定指示;排程抗癲癇藥物是預防發作,但非發作時的直接安全措施。
To ensure safety for a client with a history of seizures, the nurse should pad side rails to prevent injury, keep the bed in the lowest position to minimize fall distance, and have suction equipment readily available to manage potential airway obstruction. A sitter is not a standard precaution unless specifically indicated, and administering scheduled anticonvulsants is a preventive measure rather than an immediate safety intervention during a seizure event.
兩地對癲癇病人安全措施的重視程度一致,但美國可能有更標準化的安全設備。台灣則需依現有設施,最大化病人安全。