— 健康促進與維護 · MEDIUM · MCQ —
一位 55 歲個案即將進行篩檢性大腸鏡檢查。護理師在檢查前衛教應優先強調下列哪項重點？
A 55-year-old client is scheduled for a screening colonoscopy. Which instruction should the nurse prioritize during the pre-procedure education?
- AArrange for a ride home because of sedation✓ 正解安排他人接送回家，因為使用了鎮靜劑
- BConsume a clear liquid diet for 24 hours before the procedure在檢查前24小時攝取清流質飲食
- CEat a high-fiber breakfast on the day of the procedure在檢查當天食用高纖早餐
- DTake all daily medications, including anticoagulants服用所有日常藥物，包括抗凝血劑
— Explanation · 中文詳解 —
大腸鏡檢查需施打鎮靜劑，為了病人安全，法規與臨床要求必須安排專人接送，不可自行開車。B 選項雖然正確但非優先（因不安排載送會導致手術取消）；D 選項錯誤，抗凝血藥物通常需暫停以降低術中出血風險；C 選項完全錯誤，術前需清腸，禁止進食固體食物。
Because colonoscopy procedures involve the administration of sedatives that impair cognitive and motor functions, client safety mandates arranging for transportation home prior to the procedure. While dietary restrictions are important, ensuring safe discharge is the priority intervention to prevent injury post-procedure.
✦ 台美臨床差異
美國法規對術後麻醉安全性要求嚴格，常導致手術因無陪同者而取消；台灣醫院常提供術後休息區等待清醒，但同樣建議由家屬陪同。