— 基本照護與舒適 · EASY · MCQ —
護理師照護一位留置鼻胃管的病人。主要舒適問題為何？
A nurse is caring for a client with a nasogastric tube. What is the main comfort concern?
- AFeeling hungry感到飢餓
- BDifficulty walking行走困難
- CExcessive weight of the tube管路重量過重
- DNasal mucosa dryness✓ 正解鼻黏膜乾燥
— Explanation · 中文詳解 —
鼻胃管（Nasogastric tube）留置會持續壓迫鼻黏膜，造成黏膜缺血、乾燥、發炎甚至潰瘍。舒適護理（Comfort care）的重點在於減輕物理性刺激，透過定期清潔鼻腔、使用水性潤滑劑（Water-soluble lubricant）以及妥善固定管路來預防黏膜受損，這是護理實務中最常見且直接影響病人舒適度的問題。
The continuous pressure of a nasogastric tube against the nasal mucosa can cause dryness, irritation, and potential ulceration. Nursing comfort measures focus on preventing this physical damage through proper securing and lubrication. While hunger may occur, nasal mucosal integrity is the primary localized comfort concern.