— 基本照護與舒適 · EASY · MCQ —
一位術後病人出現噁心感，護理師應優先執行哪項措施？
A nurse is caring for a client who has returned from surgery and is experiencing nausea. Which intervention should the nurse implement first?
- AProvide ice chips for the client提供病人冰塊
- BAssess the client's bowel sounds評估病人的腸鳴音
- CAdminister an antiemetic medication給予抗吐藥物
- DPosition the client on their side✓ 正解將病人置於側臥姿勢
— Explanation · 中文詳解 —
術後噁心嘔吐（Postoperative Nausea and Vomiting, PONV）是常見的術後併發症。護理師的首要任務是保護呼吸道，防止吸入性肺炎（Aspiration pneumonia）。因此，將病人擺放為側臥姿勢（Lateral position）是臨床護理的優先措施，這能確保嘔吐物順利排出，避免阻塞呼吸道。隨後才進行藥物治療或評估。
Postoperative nausea and vomiting (PONV) is a common postoperative complication. The nurse's first task is to protect the airway and prevent aspiration pneumonia. Therefore, placing the client in a lateral (side-lying) position is the priority nursing intervention; this ensures that vomitus drains away from the airway and prevents obstruction. Pharmacological treatment and further assessment follow.