— 照護管理 · EASY · MCQ —
護理師正在指導一位照顧癲癇病史病人的護佐（UAP），下列哪項 UAP 的行為需要護理師立即介入？
A nurse is supervising an unlicensed assistive personnel (UAP) who is providing care to a client with a history of seizures. Which action by the UAP requires immediate intervention by the nurse?
- AClearing the environment of hard or sharp objects清除環境中的堅硬或尖銳物體
- BPlacing the client in a side-lying position during a seizure在發作期間將病人置於側臥姿勢
- CAttempting to insert a tongue blade into the client's mouth✓ 正解嘗試將壓舌板插入病人口中
- DLoosening the client's clothing around the neck鬆開病人頸部的衣物
— Explanation · 中文詳解 —
癲癇發作時絕對不可強行將任何物品塞入病人口中，此舉易導致病人牙齒斷裂、軟組織受傷，甚至阻塞呼吸道。護佐應保護病人的頭部與安全，確保呼吸道通暢，而非嘗試干預咬合動作。其他選項皆為保護病人安全與預防受傷的正確做法。
Inserting a tongue blade into a seizing client’s mouth requires immediate intervention because it poses a high risk of dental trauma and airway obstruction. Nursing care should focus on protecting the client’s head and maintaining a patent airway without placing foreign objects in the mouth.
✦ 台美臨床差異
台美醫療體系對於癲癇發作的護理共識一致，均強調禁止放置異物於口中，且護佐皆需接受相同的安全培訓。