— 生理適應 · MEDIUM · MCQ —
一位有癲癇史的病患目前出現局部癲癇發作，下列哪項護理介入關鍵？
Which nursing intervention is crucial for a client with a history of seizures and current active focal seizure?
- AAttempt to open the client's jaw嘗試打開病人的下顎
- BCall for the emergency response team immediately立即呼叫緊急回應團隊
- CRecord the time and nature of the seizure✓ 正解記錄發作的時間與性質
- DAdminister oral anti-seizure medication給予口服抗癲癇藥物
— Explanation · 中文詳解 —
局部癲癇發作時，病患意識可能尚清醒或僅輕微受影響。護理的重點是觀察並記錄其發作細節（部位、時間、症狀演變），作為醫師後續調整藥物的依據。B 僅在發作持續過久或轉為全身性時才需要。C 在發作期間給予口服藥極易嗆咳。D 絕對禁止強行打開下顎。
During a focal seizure, the client may remain conscious or have only mild impairment, making careful observation and documentation of seizure characteristics essential for diagnostic accuracy and treatment adjustment. Forcing the jaw open is contraindicated due to injury risk, and oral medications should never be administered during a seizure because of the high aspiration risk.
✦ 台美臨床差異
美台對癲癇病患紀錄的要求高度一致，皆強調觀察細節的重要性。