— 基本照護與舒適 · MEDIUM · MCQ —
護理師為無意識病人進行口腔護理時，哪項介入措施至關重要？
Which nursing intervention is essential when providing oral care to an unconscious client?
- APosition the client on their back將病人置於仰臥位
- BUse lemon-glycerin swabs for cleaning使用檸檬甘油棉棒進行清潔
- CPosition the client on their side✓ 正解將病人置於側臥位
- DUse a gloved finger to clean teeth使用戴手套的手指清潔牙齒
— Explanation · 中文詳解 —
無意識病人缺乏吞嚥反射與咳嗽反射，維持呼吸道通暢是護理首要目標。側臥位（Side-lying）利用重力作用，使口腔內分泌物、唾液或清潔液自然流出，有效預防誤吸（Aspiration）導致的吸入性肺炎。平臥位極易導致分泌物阻塞氣道或進入肺部，造成嚴重呼吸道併發症。此外，口腔清潔應使用軟毛牙刷或海綿刷，並避開刺激性化學物質。
Positioning an unconscious client on their side facilitates the drainage of secretions and prevents aspiration, which is critical since these clients lack protective reflexes. This position uses gravity to keep the airway clear, whereas supine positioning increases the risk of aspiration pneumonia.