— 安全與感染控制 · EASY · MCQ —
護理師正在照護一名有癲癇病史的病人。病床旁應準備哪項安全設備？
A nurse is caring for a client with a history of seizures. Which safety equipment should be present at the bedside?
- ASuction equipment and oxygen✓ 正解抽吸設備與氧氣
- BRestraints for all four extremities四肢約束帶
- CPadded tongue blade包墊舌壓板
- DA manual resuscitator bag (Ambu bag)手動復甦球囊（Ambu bag）
— Explanation · 中文詳解 —
癲癇發作時，維持呼吸道通暢與預防缺氧是關鍵。抽吸設備可用於清除發作後的嘔吐物或分泌物，氧氣則用於應對可能的低氧。C 選項（壓舌板）是絕對禁忌，會造成牙齒損傷或呼吸道阻塞。D 選項（甦醒球）非首要，發作中通常不需要人工呼吸。B 選項（約束）會導致發作中病人的肢體骨折，嚴禁使用。
Suction equipment and oxygen should be kept at the bedside to manage airway secretions and prevent hypoxia during or after a seizure. Other options like restraints or padded tongue blades are contraindicated as they increase the risk of physical injury or airway obstruction.
✦ 台美臨床差異
早期臨床曾使用壓舌板，但現代台美護理指引均已將其列為癲癇照護的禁忌動作。