— 基本照護與舒適 · EASY · MCQ —
一位病人即將進行手術，護理師需移除首飾與隱形眼鏡。下列何者為此項措施最主要的原因？
A client is scheduled for surgery. The nurse needs to remove the client's jewelry and contact lenses. Which is the most appropriate rationale for this intervention?
- ATo prevent accidental injury during electrocautery or patient positioning✓ 正解防止電燒灼術或病人擺位時發生意外傷害
- BTo prevent the client from becoming agitated while under anesthesia防止病人在麻醉期間變得煩躁不安
- CTo comply with hospital policy regarding personal belongings遵守醫院關於個人財物的規定
- DTo keep the jewelry from being misplaced during the surgical procedure防止珠寶在手術過程中遺失
— Explanation · 中文詳解 —
手術室中移除飾品主要是基於病人的物理安全。金屬首飾在電燒設備使用時可能導電導致灼傷；隱形眼鏡在麻醉期間若不移除，可能因角膜乾燥或角膜擦傷引發嚴重併發症。雖然保管財物是責任，但優先級遠低於防止醫源性傷害。
In the operating room, jewelry is removed primarily for the client's physical safety. Metal jewelry can conduct electricity and cause burns when electrocautery is used, and contact lenses left in during anesthesia can cause severe complications such as corneal drying or corneal abrasion. While safeguarding personal belongings is a responsibility, it is far less of a priority than preventing iatrogenic injury.
✦ 台美臨床差異
台美手術室均嚴格要求移除飾品；在台灣，護理師常需與家屬確認財物清單，重視法律責任。