— 安全與感染控制 · MEDIUM · MCQ —
移除尿管時，護理師應採取何種行動以確保安全？
When removing a catheter, which action should the nurse perform to ensure safety?
- ADeflate the balloon completely✓ 正解完全洩除氣球
- BInject 5 mL of air to ensure it's empty注入5 mL空氣以確保已排空
- CPull the catheter out rapidly快速拔出導尿管
- DCut the balloon port to deflate剪斷氣球端口以洩氣
— Explanation · 中文詳解 —
移除留置尿管（Foley）的標準步驟：A. 完全洩除氣球——使用 5-10 mL 注射器（依氣球容量）將生理食鹽水或無菌水抽出，確認氣球完全洩除後才可順勢拉出，避免造成尿道創傷。錯誤：B. 切割氣球埠（balloon port）並不能保證氣球完全洩除，反而可能堵塞；C. 快速拔除會造成尿道黏膜撕裂與疼痛；D. 注入空氣以確認氣球洩除是不正確操作——應使用注射器抽出液體而非注入空氣。
To ensure safety when removing a Foley catheter, the nurse must completely deflate the balloon by aspirating the fluid with a syringe before gentle removal. This prevents urethral trauma and pain associated with pulling on an inflated balloon. Injecting air, cutting the port, or removing the catheter rapidly are incorrect practices that can cause injury or incomplete deflation.