護理師為鼻胃管留置病人進行衛生護理，下列哪些措施是正確的？（選所有適合的）
A nurse is providing hygiene care for a client with a nasogastric (NG) tube. Which nursing actions are appropriate? (Select all that apply.)
- AClean the nares with a water-soluble lubricant✓ 正解以水溶性潤滑劑清潔鼻孔
- BSecure the tube to the client's gown to prevent pulling將管路固定於病人衣服上以防止拉扯
- CProvide frequent oral care every 2 to 4 hours✓ 正解每 2 至 4 小時提供頻繁的口腔護理
- DChange the tape daily to prevent skin irritation✓ 正解每日更換膠帶以預防皮膚刺激
- ECheck the tube placement by auscultating air透過聽診氣泡聲來確認管路位置
鼻胃管護理重點在於黏膜保護與舒適感。使用水溶性潤滑劑清潔鼻孔可減少黏膜刺激，頻繁口腔護理可改善乾燥，每日更換固定膠帶可避免皮膚過敏或壓傷。B錯誤：管路應固定於鼻翼上，固定於衣服會因活動造成拉扯。E錯誤：聽診氣泡已證實不準確，現行指引建議使用 pH 試紙或 X 光確認。
Nasogastric tube care focuses on protecting the mucosa and maintaining comfort. Using a water-soluble lubricant to clean the nares reduces mucosal irritation; frequent oral care relieves dryness; and changing the securing tape every day prevents skin irritation or pressure injury. B is incorrect because the tube should be secured to the side of the nose, not to clothing, since clothing-based fixation is pulled with movement. E is incorrect because auscultating for air bubbles has been shown to be inaccurate; current guidelines recommend confirming placement with pH testing or x-ray.
台美臨床對鼻胃管護理規範相似，但在確認位置上，台灣部分基層單位仍保留氣泡聽診，但趨勢皆已轉向 pH 測試。