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個案在床上開始發生全身性癲癇發作。請將護理措施排成正確順序。

Ordered Response

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Stay with the client, call for help, and start timing the seizure. 留在個案身旁、呼叫協助並開始計時發作。

Turn the client gently onto the side if possible and keep the airway clear. 可能時將個案輕柔轉向側臥並保持呼吸道通暢。

After seizure activity stops, assess airway, breathing, vital signs, and neurologic status. 發作停止後評估呼吸道、呼吸、生命徵象與神經狀態。

Clear nearby hazards and protect the head without restraining the client. 移除附近危險物並保護頭部，但不約束個案。

Document the seizure characteristics and postictal findings. 記錄發作特徵與發作後發現。

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僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。