— 健康促進與維護 · MEDIUM · MCQ —
客戶即將進行大腸鏡檢查。護理師在檢查前衛教中應包含哪項指導？
A client is scheduled for a colonoscopy. Which instruction should the nurse include in the pre-procedure teaching?
- AWear tight-fitting clothes for the procedure穿著合身的衣物進行檢查
- BArrange for someone to drive the client home✓ 正解安排他人開車送個案回家
- CTake iron supplements the morning of the procedure在檢查當天早上服用鐵劑
- DConsume a clear liquid diet the day before the procedure在檢查前一天攝取清流質飲食
— Explanation · 中文詳解 —
大腸鏡（Colonoscopy）檢查涉及鎮靜麻醉（Sedation），這直接影響病人的安全與護理衛教重點。護理師需確保病人術後安全，防止因麻醉藥效未退導致的意外。臨床思維中，安全（Safety）永遠是優先考慮，術後駕駛不僅危險且違法，因此必須安排陪同人員。其他準備工作如低渣飲食或禁食雖重要，但術後個案的離院安全是護理衛教中的關鍵評估指標。
Because colonoscopy typically involves sedation, the client’s judgment and reflexes are impaired post-procedure. Nursing priority focuses on safety, requiring the client to arrange for a responsible adult to drive them home to prevent accidents associated with operating a vehicle while sedated.
✦ 台美臨床差異
在美國，這項要求是法律與保險規定的強制標準（Legal/Safety policy），若病人無陪同者，醫院有權取消手術，護理師需嚴格執行此規範以規避法律責任。