— 基本照護與舒適 · EASY · MCQ —
護理師照顧一位留置導尿管的病人。下列哪項措施是錯誤的？
A nurse is caring for a client with a urinary catheter. Which action is incorrect?
- AKeep the tubing free of kinks保持管路無扭曲
- BKeep the drainage bag below the level of the bladder保持引流袋低於膀胱水平
- CEmpty the bag when it is completely full✓ 正解待引流袋完全充滿時再排空
- DClean the perineal area daily每日清潔會陰區域
— Explanation · 中文詳解 —
留置導尿管的照護核心在於預防感染。尿袋必須保持低於膀胱位置，以防尿液逆流引發感染。管路應保持通暢，避免打結（Kinks）。清潔會陰部應每日執行。清空尿袋時，應在達到 1/2 至 2/3 滿時執行，若等待完全滿再清空，會導致尿液滯留回流，大幅增加泌尿道感染風險。正確的照護步驟能有效降低導管相關泌尿道感染（CAUTI）。
Emptying the drainage bag only when completely full increases the risk of urine reflux and subsequent infection. The bag should be emptied when it is half to two-thirds full to maintain proper gravity drainage and prevent backflow into the bladder.