— 安全與感染控制 · MEDIUM · SATA —
護理師照顧一位有癲癇史的病人。病室內應具備哪些安全設備?(選所有適合的)
A nurse is caring for a client with a history of seizures. What safety equipment should be available in the room? (Select all that apply.)
- AOxygen setup✓ 正解氧氣裝置
- BSuction equipment✓ 正解抽吸設備
- CPadded side rails✓ 正解軟墊護欄
- DHard plastic bite block硬塑膠咬口器
- EAmbu bag (BVM)✓ 正解Ambu 球囊(BVM)
— Explanation · 中文詳解 —
癲癇病人急性發作時,安全照護重點在於維持呼吸道通暢與預防外傷。氧氣(A)與抽吸設備(B)是為了在發作後(或發作期間若有口腔分泌物)迅速清除呼吸道阻塞;甦醒球(E)則用於呼吸停止時的急救。側欄軟墊(C)可防止病人發作時撞擊床欄導致骨折或外傷。硬塑膠咬口器(D)是舊時觀念,現代實務已證實試圖在病人發作時塞入硬物,反而會導致牙齒斷裂或軟組織受損,甚至造成呼吸道阻塞,故必須排除。
Safety equipment for a client with seizures includes oxygen, suction, padded side rails, and an ambu bag to manage airway patency and prevent injury. Hard plastic bite blocks are contraindicated as they pose a risk of dental injury and airway obstruction.