— 照護管理 · HARD · MCQ —
一位護理師正在指導一位學生護理師照護一位氣切病人。學生護理師的哪項行為需要立即糾正？
A nurse is supervising a student nurse caring for a client with a tracheostomy. Which action by the student nurse requires immediate correction?
- AAdministering oxygen via a face mask at 10 L/min.✓ 正解以10 L/min的流量透過面罩給氧
- BSecuring the tracheostomy tube with a new tie after cleaning.清潔後用新的繫帶固定氣切套管
- CUsing sterile technique when performing tracheostomy care.執行氣切照護時使用無菌技術
- DSuctioning the tracheostomy when secretions are visible.當可見分泌物時進行抽吸
— Explanation · 中文詳解 —
氣切（Tracheostomy）病人若需額外給氧，應使用專用的氣切噴霧（Tracheostomy collar）或 T 型管（T-piece），並搭配適當的濕化氧氣。使用面罩（Face mask）給予 10 L/min 的高流量氧氣是非常危險的行為，因為面罩會直接壓迫氣切造口，造成阻塞或傷口刺激，且氣切孔並非生理呼吸道，高流量直接吹入可能導致黏膜損傷或氣道阻力過大，甚至影響呼吸動力。
Administering high-flow oxygen via a face mask to a client with a tracheostomy is unsafe because the mask can obstruct the stoma and cause mucosal injury. Oxygen should be delivered using a dedicated tracheostomy collar or T-piece with proper humidification to ensure airway patency and safety.