— 照護管理 · MEDIUM · MCQ —
病人預備手術處於禁食（NPO）狀態，主訴口渴嚴重，護理師應採取何項最合適措施？
A nurse is caring for a client who is NPO for surgery. The client complains of severe thirst. Which action is most appropriate?
- AExplain the necessity of NPO and offer a cold compress for the forehead解釋禁食（NPO）的必要性，並提供額頭冷敷
- BProvide a small sip of water提供少量清水啜飲
- CCall the anesthesiologist to request permission for ice chips呼叫麻醉醫師請求允許含冰塊
- DAllow the client to rinse their mouth with water and spit it out✓ 正解允許病人用水漱口後吐出
— Explanation · 中文詳解 —
禁食（NPO）狀態的病人為手術安全（避免術中誤吸），不可飲水。當主訴口渴時：B. 讓病人以水漱口後吐出，可緩解口腔乾燥不適但不違反 NPO 原則。其他選項：B. 給予小口水違反 NPO 規定；C. 冷敷額頭與解釋 NPO 必要性可作為輔助安慰，但不直接緩解口腔乾燥；D. 為了普通口渴打擾麻醉科醫師要求 ice chips 不必要——ice chips 仍屬流質，多數機構在 NPO 狀態下也禁止。
To relieve thirst in a NPO client without violating preoperative restrictions, the nurse should allow the client to rinse their mouth with water and spit it out. This action alleviates oral dryness while ensuring no fluid is ingested, thereby maintaining safety against aspiration during anesthesia.