— 基本照護與舒適 · EASY · MCQ —
護理師照護一位禁食(NPO)準備檢查的病人。下列哪項口腔護理措施最重要?
A nurse is caring for a client who is NPO for a procedure. What is the most important oral care intervention?
- AClean the mouth gently and ensure no water is swallowed✓ 正解輕柔清潔口腔並確保未吞嚥水分
- BSkip oral care until after the procedure跳過口腔護理直到檢查完成後
- CBrush the teeth with toothpaste and water使用牙膏和水刷牙
- DProvide hard candy for moisture提供硬糖以保持濕潤
— Explanation · 中文詳解 —
禁食(NPO)病人仍需維護口腔衛生,以防止口腔菌叢滋生引發感染或口臭。最重要的安全原則是「避免誤吸(Aspiration)」。使用少量清水或生理食鹽水清潔,並由護理師協助確保病人不會將液體吞下。選項 C 牙膏含化學物質不可吞服;選項 B 忽略了口腔護理的重要性;選項 D 違反了 NPO 的醫療處置要求。
A client on NPO status still requires oral hygiene to prevent bacterial overgrowth, infection, and halitosis. The most important safety principle is to avoid aspiration. The nurse uses a small amount of plain water or normal saline for cleaning and assists the client to ensure that no fluid is swallowed. Option C is incorrect because toothpaste contains chemicals that cannot be swallowed; option B ignores the importance of oral care; and option D violates the NPO order.