— 照護管理 · MEDIUM · MCQ —
護理師照護一位新接受氣切的病人，下列何項護理措施對維持呼吸道暢通是必要的？
A nurse is caring for a client with a newly inserted tracheostomy. Which nursing action is essential for maintaining airway patency?
- APack the area around the tracheostomy tube loosely with gauze以紗布鬆散地填塞氣切管周圍區域
- BEncourage coughing and deep breathing exercises every 4 hours鼓勵每4小時進行咳嗽和深呼吸練習
- CAdminister humidified oxygen at 10 L/min給予每分鐘10公升的濕化氧氣
- DSuction the tracheostomy tube as needed✓ 正解視需要對氣切管進行抽吸
— Explanation · 中文詳解 —
氣切（Tracheostomy）病人最主要的呼吸道風險是分泌物堆積導致堵塞。護理師需定時評估呼吸道狀況，並依需求進行抽痰（Suctioning），確保呼吸道暢通。濕化氧氣能防止痰液變乾，但非直接清除分泌物的手段；鬆散填塞紗布（A）容易導致紗布纖維被吸入肺部；咳痰練習（B）重要，但在病人痰液過濃時，抽痰才是最直接解決堵塞的方法。
Suctioning the tracheostomy tube as needed is essential to remove secretions that can obstruct the airway and compromise patency. While humidification helps prevent thickening of secretions, it does not actively clear obstructions, making suctioning the primary intervention for maintaining a clear airway.