— 基本照護與舒適 · MEDIUM · MCQ —
一位病人預計進行中度鎮靜手術，術前優先的護理評估為何？
A client is scheduled for a procedure under moderate sedation. Which nursing assessment is prioritized prior to the procedure?
- AAsking the client about their current pain level詢問病人目前的疼痛程度
- BConfirming the client's emergency contact information確認病人的緊急聯絡人資訊
- CVerifying the timing of the last oral intake✓ 正解核實最後一次口服進食的時機
- DAssessing the client's preferred post-procedure meal評估病人術後偏好的餐點
— Explanation · 中文詳解 —
中度鎮靜雖非全麻，但仍有發生嘔吐與誤吸的風險。術前確認禁食時間（NPO）是預防呼吸道併發症的關鍵安全措施。疼痛評估（A）固然重要，但屬次要；飲食喜好（D）與聯絡人（B）皆非術前預防致命併發症的關鍵核心。
Verifying the time of the last oral intake is the priority to ensure the client is NPO, which prevents aspiration during moderate sedation. While pain assessment is important, airway safety takes precedence over other routine checks like emergency contacts or meal preferences.
✦ 台美臨床差異
美台均嚴格執行禁食規定，但在美國門診手術中，護理師需確認病人有無陪同人員（Responsible adult）才可執行鎮靜，台灣則較重視家屬簽署同意書。