— 照護管理 · MEDIUM · MCQ —
病人預計接受意識鎮靜（Conscious Sedation）。下列哪項行動是護理師的責任？
A client is scheduled for a procedure requiring conscious sedation. Which action is the nurse's responsibility?
- AMonitoring the client's airway and vital signs continuously✓ 正解持續監測病人的呼吸道與生命徵象
- BPerforming the surgical procedure執行手術程序
- CObtaining the surgical consent from the patient向病人取得手術同意書
- DOrdering the sedative medication for the patient開立病人的鎮靜藥物處方
— Explanation · 中文詳解 —
意識鎮靜（Conscious Sedation）期間，病人仍能對指令做出反應，但藥物（如鎮靜劑與鴉片類藥物）會抑制呼吸中樞與保護性反射。護理師的專業責任是隨時監測病人的生理變化，特別是氣道暢通度、SpO2（血氧飽和度）與心律。若出現呼吸抑制，護理師必須能即刻採取行動。其他選項如開藥（D）、手術（B）及獲取同意（C）均非護理師的職責範圍，或已由其他團隊成員完成。
During conscious sedation, the nurse is responsible for continuously monitoring the client’s airway, breathing, and vital signs to ensure safety. While the provider performs the procedure and obtains consent, the nurse manages physiological responses, particularly respiratory depression, which is a risk with sedatives and opioids.