— 基本照護與舒適 · MEDIUM · MCQ —
護理師對剛獲開立連續正壓呼吸器（CPAP）處方的病人進行出院指導，哪項護理行動為優先？
A nurse is providing discharge instructions for a client newly prescribed a continuous positive airway pressure (CPAP) machine. Which nursing action is priority?
- AExplain the cost of the machine rental說明機器租賃的成本
- BDemonstrate the proper mask fitting to ensure a seal✓ 正解示範正確的口罩佩戴方式以確保密合
- CProvide a list of local support groups提供當地支持團體的清單
- DSuggest ways to decorate the machine for aesthetic appeal建議裝飾機器的方法以提升美觀
— Explanation · 中文詳解 —
CPAP 的治療效果取決於機器壓力傳遞，若面罩密合度不佳會導致漏氣，使治療無效。護理師需確認病人能正確配戴並調整頭帶，確保不會漏氣。A 與 C 為後續協助，D 與治療療效無關。優先解決生理治療依從性與有效性是護理師首要責任。
CPAP therapy depends on adequate pressure delivery; a poor mask seal results in leaks that render therapy ineffective. The nurse must confirm proper mask fit and head-strap adjustment to prevent leakage. Cost details and support groups are secondary concerns, and decorating the device is irrelevant to therapeutic effectiveness. Ensuring physiologic effectiveness and adherence is the nurse's first priority.
✦ 台美臨床差異
美國 CPAP 衛教多由呼吸治療師（RT）負責，護理師輔助；台灣通常由呼吸治療師與護理師共同執行。