一位禁食等待手術的病人主訴口渴,護理師應採取什麼行動?
A nurse is caring for a client who is NPO for surgery. The client reports severe thirst. What action should the nurse take?
- AAllow the client to rinse their mouth and spit out the water允許病人漱口並吐出水
- BProvide ice chips to suck on提供碎冰讓病人含吮
- CExplain the importance of NPO status and offer mouth care✓ 正解解釋禁食的重要性並提供口腔護理
- DCall the physician to request an IV fluid bolus通知醫師要求給予靜脈輸液衝刺劑量
術前禁食(NPO)的核心目的是確保胃部排空,預防麻醉誘導期間發生胃內容物逆流與誤吸,導致吸入性肺炎(Aspiration Pneumonia)。即使是少量的碎冰或漱口水也可能刺激胃酸分泌或被誤吞,增加麻醉風險。護理師應運用溝通技巧,解釋禁食的必要性以獲得病人的合作,並透過提供口腔清潔來緩解因禁食造成的口乾不適,這是兼顧病人舒適與醫療安全的護理措施。
The core purpose of preoperative NPO is to ensure that the stomach is empty, preventing reflux and aspiration of gastric contents during anesthesia induction and the resulting aspiration pneumonia. Even small amounts of ice chips or mouthwash may stimulate gastric acid secretion or be inadvertently swallowed, increasing anesthesia risk. The nurse should use communication skills to explain the necessity of NPO and obtain the patient's cooperation, and offer oral care to relieve the dry mouth caused by fasting — a nursing intervention that balances patient comfort with medical safety.