— 降低風險 · MEDIUM · MCQ —
護理師照護一位氣切病人，下列哪項措施是預防吸入性肺炎的優先事項？
A nurse is caring for a client with a tracheostomy. Which action is priority to prevent aspiration?
- APerform oral hygiene twice a day每天進行兩次口腔衛生
- BSuction the client every hour每小時為病人抽吸
- CEnsure the client remains supine after meals確保病人在餐後保持仰臥姿勢
- DKeep the cuff inflated during feeding✓ 正解在餵食期間保持套囊充氣
— Explanation · 中文詳解 —
氣切（Tracheostomy）病人因吞嚥機制可能受損，預防吸入性肺炎（Aspiration pneumonia）是照護的優先事項。維持氣切套囊（Cuff）充氣可封閉氣管與食道間的空間，防止口咽分泌物或食物誤入下呼吸道。在臨床上，除非病人已進行吞嚥評估並移除套囊，否則進食時維持適當充氣壓力是保護呼吸道的關鍵。
Maintaining cuff inflation during feeding creates a seal that prevents oral secretions and food from entering the lower airways, which is critical for clients with compromised swallowing mechanisms. This action directly addresses the priority of preventing aspiration pneumonia in tracheostomy patients.