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安全與感染控制 · MEDIUM · SATA

護理師教導病人使用誘發性肺量計(Incentive Spirometer)。下列哪些說明是正確的?(選所有適合的)

A nurse is teaching a client to use an incentive spirometer. Which instructions are correct? (Select all that apply.)

  • AInhale slowly and deeply✓ 正解
    緩慢且深吸氣
  • BExhale forcefully into the device
    用力向裝置內吐氣
  • CHold your breath for 3 to 5 seconds after inhalation✓ 正解
    吸氣後閉氣 3 至 5 秒
  • DPerform the exercise 5 to 10 times every hour while awake✓ 正解
    清醒期間每小時進行 5 至 10 次
  • EUse the device immediately after eating a large meal
    在大餐後立即使用該裝置
Explanation · 中文詳解

誘發性肺量計(Incentive spirometer)旨在促進深呼吸以擴張肺泡,預防手術後肺塌陷。護理指導應強調:必須「慢且深」地吸氣(吸氣訓練),而非強烈吐氣;吸氣後閉氣 3-5 秒,以增加氣體交換機會;頻率為每小時醒時執行 5-10 次。剛吃飽後執行易導致噁心嘔吐,故應避開飯後時間。這些步驟能有效維持術後呼吸功能。

An incentive spirometer is designed to promote deep breathing and expand the alveoli, preventing postoperative atelectasis. Nursing instructions should emphasize: inhaling slowly and deeply (inspiratory training) rather than exhaling forcefully; holding the breath for 3-5 seconds after inhalation to allow more time for gas exchange; and performing the exercise 5-10 times per hour while awake. Using the device immediately after a large meal may cause nausea and vomiting and should be avoided. These steps effectively support recovery of respiratory function after surgery.

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