— 基本照護與舒適 · EASY · SATA —
護理師照護一位需執行清流質飲食的病人。下列哪些食物適合包含在飲食中?(選所有適合的)
A nurse is caring for a client who requires a clear liquid diet. Which foods should the nurse include? (Select all that apply.)
- AApple juice✓ 正解蘋果汁
- BFat-free broth✓ 正解去脂肉湯
- CGelatin✓ 正解果凍
- DMilk牛奶
- ETea without creamer✓ 正解不加奶精的茶
— Explanation · 中文詳解 —
清流質飲食(Clear Liquid Diet)的定義是:在室溫下呈液體狀態,且需具備「透明度」(光線可穿透)。其臨床目的是減輕胃腸道負擔,同時提供必要的體液與電解質,常用於術前準備或術後腸道功能恢復初期。牛奶因含有乳脂肪與蛋白質,在室溫下不透明,會增加消化道蠕動與殘渣,因此屬於全流質飲食(Full Liquid Diet)範疇,而非清流質。
A clear liquid diet consists of fluids that are transparent and liquid at room temperature, such as apple juice, fat-free broth, gelatin, and black tea. Milk is excluded because its opacity and protein/fat content classify it as a full liquid, which is not permitted when gastrointestinal rest or minimal residue is required.
✦ 台美臨床差異
在美國臨床實務中,清流質飲食常包含冰棒(Popsicles,需注意不可為紅色以避免混淆血液),但在台灣醫院,清流質的定義較為嚴格,通常僅限於過濾後的果汁或清湯,對果凍的定義可能因醫院而異。