護理師照護一位剛從麻醉恢復室回病房的腹部手術病人。為降低呼吸道併發症風險,護理師應優先採取哪項措施?
A nurse is caring for a client who has just returned from the post-anesthesia care unit following an abdominal surgery. Which action should the nurse prioritize to reduce the risk of respiratory complications?
- AAssess the client's bowel sounds評估病人的腸鳴音
- BAssist the client with deep breathing and coughing exercises✓ 正解協助病人進行深呼吸和咳嗽練習
- CMonitor the surgical dressing for drainage監測手術敷料是否有滲出液
- DAdminister pain medication as ordered遵照指示給予止痛藥物
剛從麻醉恢復室(PACU)回病房的病人,因麻醉藥物抑制呼吸中樞、術中體位導致肺擴張不全,加上術後疼痛限制活動,極易發生肺塌陷(Atelectasis)與肺炎(Pneumonia)。深呼吸與咳嗽(Deep breathing and coughing)練習能促進肺泡擴張、改善氣體交換並清除呼吸道分泌物,是術後呼吸道照護的優先措施。
A client who has just returned from the post-anesthesia care unit (PACU) is highly susceptible to atelectasis and pneumonia because anesthetic agents depress the respiratory center, intraoperative positioning reduces lung expansion, and postoperative pain restricts mobility. Deep breathing and coughing exercises promote alveolar expansion, improve gas exchange, and clear airway secretions, making them the priority for postoperative airway care.