病人因檢查已禁食(NPO)8 小時,抱怨口乾。護理師採取哪項措施最合適?
A client is scheduled for a procedure and has been NPO for 8 hours. The client complains of a dry mouth. Which action is most appropriate for the nurse to take?
- AProvide frequent oral hygiene with a moist swab.✓ 正解頻繁使用濕棉棒進行口腔護理
- BGive the client a small glass of water.給予病人一小杯水
- CTell the client that dry mouth is normal and nothing can be done.告訴病人口乾是正常的,無計可施
- DAllow the client to suck on ice chips.允許病人含吮冰塊
NPO 期間禁止任何經口攝入,包括水(B)和冰塊(D),除非醫囑特別允許。口乾的舒緩方法是執行口腔護理,使用濕潤的棉棒或紗布清潔口腔黏膜,既能緩解不適又不會攝入液體。直接告訴病人「沒辦法」(C)是不專業的。保持黏膜濕潤也有助於預防腮腺炎或口腔感染。
Any oral intake, including water (B) and ice chips (D), is prohibited during NPO status unless specifically permitted by a physician's order. Dry mouth can be alleviated by performing oral care with a moist swab or gauze to clean the oral mucosa, which provides relief without resulting in fluid intake. Telling the client "there is nothing that can be done" (C) is unprofessional. Keeping the mucosa moist also helps prevent parotitis or oral infection.
在美國,「Ice chips」有時在術後被允許,但在 NCLEX 考試中,除非題目註明,否則 NPO 即代表 Nothing by mouth。