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生理適應 · MEDIUM · MCQ

護理師照護一位鼻胃管(NG)病人,給藥前的優先行動為何?

A nurse is caring for a client with a nasogastric (NG) tube. What is the priority nursing action before administering medication?

  • ACheck residual volume
    檢查殘餘量
  • BVerify tube placement✓ 正解
    確認管路位置
  • CFlush with 100 mL of water
    以 100 mL 水沖洗
  • DElevate the head of the bed
    抬高床頭
Explanation · 中文詳解

鼻胃管(NG tube)給藥前的首要護理行動是「確認管路位置」。確認位置(如回抽胃液測試pH值或聽診氣泡法)是確保藥物進入胃部而非誤入氣管,這直接關係到吸入性肺炎(Aspiration pneumonia)的預防。雖然殘餘量檢查(Residual)也很重要,但相較於確認管路是否在胃內,確認位置是安全給藥的先決條件。

The primary nursing action before administering medication through a nasogastric (NG) tube is to confirm tube placement. Verifying placement (for example, by aspirating gastric contents and testing pH or by the auscultation method using injected air) ensures that the medication is delivered into the stomach rather than inadvertently into the trachea, which is directly related to the prevention of aspiration pneumonia. Although checking residual volume is also important, confirming whether the tube is in the stomach is the prerequisite for safe medication administration.

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