— 降低風險 · MEDIUM · MCQ —
護理師照護一位置入胸管的病人，床邊應放置何種物品以確保安全？
A nurse is caring for a client with a chest tube. What should the nurse keep at the bedside for safety?
- AA replacement chest tube kit備用胸管套件
- BA sterile water bottle無菌水瓶
- CA pair of padded hemostats✓ 正解一組護墊止血鉗
- DA bottle of antiseptic solution消毒溶液瓶
— Explanation · 中文詳解 —
胸管護理的首要安全措施是準備成對的止血鉗（padded hemostats），以便在胸管系統損壞或斷開時能及時鉗住胸管，防止空氣進入胸膜腔導致氣胸。無菌水瓶用於胸管脫落時作為水封瓶的替代品，但止血鉗是針對管路破損的首選處置工具。
Padded hemostats must be kept at the bedside with a chest tube to allow for immediate clamping of the tube if the drainage system becomes disconnected or leaks. This precaution prevents air from entering the pleural space, thereby avoiding the development of a tension pneumothorax.
✦ 台美臨床差異
美台臨床皆視止血鉗為胸管病人的標準安全設備，但台灣常加註需使用「有襯墊」以防夾破管路。