— 基本照護與舒適 · EASY · MCQ —
護理師照顧一位禁食準備手術的病人，應採取何種措施進行口腔護理？
A nurse is caring for a client who is NPO for surgery. Which intervention should the nurse implement to provide oral care?
- AAllow the client to rinse with mouthwash containing alcohol允許病人使用含酒精的漱口水漱口
- BPerform oral care every 24 hours while the client is NPO在病人 NPO 期間每 24 小時執行一次口腔護理
- CUse a toothbrush and toothpaste to scrub the tongue thoroughly使用牙刷和牙膏徹底刷洗舌頭
- DUse a soft-bristled toothbrush or sponge swab with water✓ 正解使用軟毛牙刷或海綿棒沾水
— Explanation · 中文詳解 —
對於禁食（NPO）手術前的病人，口腔護理的目標是保持黏膜濕潤與清潔，預防細菌滋生及口腔乾燥造成的潰瘍。由於病人無法經口攝取水分，口腔乾燥感明顯。使用軟毛牙刷或海綿刷蘸水清潔，既能有效清除牙菌斑，又能避免刺激脆弱的口腔黏膜或導致牙齦出血。酒精成分的漱口水會導致口腔黏膜脫水，加重乾燥感，因此應避免使用。
For NPO surgical clients, oral care aims to maintain mucosal moisture and prevent bacterial overgrowth caused by dryness. Using a soft-bristled toothbrush or sponge swab with water provides gentle mechanical cleaning without traumatizing fragile mucosa, whereas alcohol-based mouthwashes exacerbate dryness and aggressive scrubbing causes injury.