病人預定進行大腸鏡檢查。下列哪項術前準備指導是正確的?
A client is scheduled for a colonoscopy. Which instruction is correct for the pre-procedure preparation?
- ADo not take any medications on the morning of the test檢查當天早上不要服用任何藥物
- BResume normal diet 4 hours before the procedure在手術前 4 小時恢復正常飲食
- CFollow a clear liquid diet for 24 hours prior✓ 正解術前 24 小時採清流質飲食
- DDrink only red liquids the day before前一天只飲用紅色液體
核心概念:大腸鏡檢查(Colonoscopy)的術前準備,特別是飲食要求。 為何正確答案對: B. 大腸鏡檢查前需要徹底清空大腸。通常要求檢查前 24-48 小時開始進食清流質飲食(Clear liquid diet),以確保腸道內無殘留物,使檢查視野清晰。清流質飲食包括室溫下呈液態且透明的食物,如水、無渣果汁(蘋果汁、白葡萄汁)、運動飲料、清湯、茶、咖啡(不加奶)等。 為何其他選項錯: D. 僅飲用紅色液體(Drink only red liquids)是錯誤的。紅色或紫色飲料可能被誤認為是腸道出血,影響判讀。應避免。 C. 檢查當天早上通常需要禁食,但前一天可進食清流質,而非完全禁食。完整禁食時間依據檢查時間而定,通常為檢查前 8-12 小時。 D. 檢查前 4 小時恢復正常飲食是錯誤的,大腸鏡檢查需要徹底清腸,通常在檢查前一天就開始限制飲食,並在檢查前數小時完全禁食。
Core concept: preprocedural preparation for colonoscopy, particularly dietary requirements. Why the correct answer is correct: B. The bowel must be thoroughly cleansed before colonoscopy. A clear liquid diet is typically required for 24-48 hours before the procedure to ensure no residue remains in the bowel, providing a clear field of view. Clear liquids include foods that are liquid and transparent at room temperature, such as water, pulp-free juice (apple juice, white grape juice), sports drinks, broth, tea, and coffee (without milk). Why the other options are incorrect: A. Drinking only red liquids is incorrect. Red or purple beverages can be mistaken for intestinal bleeding and confound interpretation; they should be avoided. C. The client typically must be NPO on the morning of the procedure but may have clear liquids the day before rather than being completely NPO. The full NPO interval depends on the time of the procedure, generally 8-12 hours before. D. Resuming a normal diet 4 hours before the procedure is incorrect; colonoscopy requires thorough bowel preparation, with dietary restriction beginning the day before and complete NPO status for several hours before the procedure.