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生理適應 · EASY · MCQ

護理師對於氣喘急性發作的病人應採取何種動作?

Which action should the nurse take for a client experiencing an acute asthma attack?

  • AAssist the client into a high-Fowler's position✓ 正解
    協助病人採取高福勒氏臥位
  • BLimit fluid intake
    限制水分攝取
  • CPlace the client in a supine position
    讓病人採取仰臥位
  • DEncourage the client to take shallow breaths
    鼓勵病人進行淺呼吸
Explanation · 中文詳解

氣喘急性發作時,呼吸道平滑肌收縮、黏膜水腫及分泌物增加導致氣道阻力上升,病人會出現呼吸困難。護理的首要目標是改善氧合與減輕呼吸作功。採高坐姿(High-Fowler's position)能利用重力使腹部臟器下沉,騰出空間讓橫膈膜更有效地收縮與舒張,增加肺活量,這是急性呼吸窘迫時最基礎且有效的擺位,符合 ABC(氣道、呼吸、循環)護理原則。

During an acute asthma attack, bronchial smooth-muscle contraction, mucosal edema, and increased secretions raise airway resistance and produce dyspnea. The priority nursing goal is to improve oxygenation and reduce the work of breathing. The high-Fowler's position uses gravity to allow the abdominal organs to fall, creating room for the diaphragm to contract and relax more efficiently and increasing vital capacity. This is the most basic and effective position for acute respiratory distress and is consistent with the ABC (airway, breathing, circulation) principle of nursing care.

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