— 基本照護與舒適 · MEDIUM · MCQ —
為意識不清的病人進行口腔護理時，哪項措施最重要？
Which action is most important when performing oral care for an unconscious client?
- AKeep the client’s mouth closed保持個案嘴巴閉合
- BPosition the client on their side✓ 正解將個案置於側臥位
- CUse a lemon-glycerin swab使用檸檬甘油棉棒
- DUse a hard plastic toothbrush使用硬塑膠牙刷
— Explanation · 中文詳解 —
意識不清的病人吞嚥反射減弱，口腔護理時應採取側臥位（Sims' position），讓口腔內液體能自然流出，預防誤吸（Aspiration）。檸檬甘油棉棒會導致口腔乾燥，已不建議使用；硬毛刷會損傷黏膜。
Positioning an unconscious client on their side prevents aspiration of oral secretions or fluids due to a weakened swallowing reflex. This safety measure is prioritized over other techniques, as lemon-glycerin swabs can dry mucous membranes and hard-bristled brushes may cause tissue injury.
✦ 台美臨床差異
台美兩地對昏迷病人口腔護理的側臥規範一致，重點均在預防吸入性肺炎。