— 基本照護與舒適 · MEDIUM · MCQ —
護理師指導病人使用誘發性肺量計（Incentive Spirometer）。病人的哪項陳述表示需要進一步衛教？
The nurse is instructing a client on the use of an incentive spirometer. Which statement by the client indicates a need for further teaching?
- AI should blow hard into the device to make the piston rise.✓ 正解我應該用力吹入裝置以使活塞上升。
- BI will hold my breath for 3 to 5 seconds at the end of inhalation.我會在吸氣結束時屏住呼吸 3 到 5 秒。
- CI need to perform this 10 times every hour while awake.我需要清醒時每小時進行 10 次。
- DI should take a deep, slow breath in through the mouthpiece.我應該透過咬嘴緩慢深吸氣。
— Explanation · 中文詳解 —
誘發性肺量計的正確用法是「吸氣（Inhalation）」，而非吐氣。病人應緩慢深吸氣（D）使活塞上升，並在吸氣末屏息 3-5 秒（B）以利肺泡擴張，預防術後肺塌陷。吐氣（A）是不正確的動作，無法達到擴張肺部的效果。頻率通常建議清醒時每小時 10 次（C）。
The incentive spirometer is used for inhalation, not exhalation. The client should take a deep, slow breath in (D) to raise the piston and hold the breath for 3-5 seconds at end-inspiration (B) to expand the alveoli and prevent post-op atelectasis. Blowing into the device (A) is incorrect because it does not expand the lungs. The recommended frequency is 10 times every hour while awake (C).
✦ 台美臨床差異
台美臨床上均極度強調術後預防肺炎，但在美國 NCLEX 中，IS 常與術後止痛（預防因痛不敢深呼吸）結合考題。