— 基本照護與舒適 · MEDIUM · MCQ —
當為失去意識的病人進行口腔護理時，下列哪項措施最重要？
Which of the following interventions is most important when providing oral care to an unconscious client?
- AClean the mouth every 12 hours每 12 小時清潔口腔
- BPlace the client in a side-lying position✓ 正解將病人置於側臥姿勢
- CKeep the mouth closed during the process在整個過程中保持嘴巴閉合
- DUse a lemon-glycerin swab使用檸檬甘油棉棒
— Explanation · 中文詳解 —
失去意識的病人，其保護性反射（如吞嚥、咳嗽反射）減弱或消失。進行口腔護理時，若採平躺姿勢，口腔內的清潔液、分泌物或殘渣極易因重力流入呼吸道，引發吸入性肺炎（aspiration pneumonia）。採取側臥位（side-lying position）能確保液體順勢流出口腔外，而非進入氣道，這是維護病人安全最優先的考量。
Placing the unconscious client in a side-lying position is the priority intervention to prevent aspiration of oral secretions or cleaning solutions into the airway. This positioning utilizes gravity to allow fluids to drain out of the mouth rather than flowing backward into the respiratory tract, thereby reducing the risk of aspiration pneumonia.