— 降低風險 · EASY · MCQ —
護理師照護一位使用鼻胃管餵食的病人。下列哪項動作對確保安全是必要的？
A nurse is caring for a client with a nasogastric tube (NG tube) for feeding. Which action is necessary to ensure safety?
- AReplace the NG tube every 24 hours每 24 小時更換鼻胃管
- BCheck pH of gastric aspirate before each feeding✓ 正解每次餵食前檢查胃抽吸液的 pH 值
- CAlways keep the client flat during feeding餵食時始終讓個案保持平躺
- DForce fluids if the tube becomes clogged若管路堵塞則強行沖灌液體
— Explanation · 中文詳解 —
餵食前確認管路位置是防止誤吸入氣管的核心步驟。檢測胃抽吸物 pH 值（< 5）是最常見的床邊確認方式。A 選項錯誤，導管更換視材質與醫院規定（約數週），無需每日更換。C 選項錯誤，必須抬高床頭。D 選項錯誤，阻塞應由專業護理處理，不可蠻力強灌。
Verifying tube placement via gastric aspirate pH is critical to prevent accidental aspiration of feed into the lungs. Nasogastric tubes do not require daily replacement, clients should have their head elevated to reduce reflux risk, and clogged tubes should never be flushed forcefully.
✦ 台美臨床差異
兩國對於管路位置確認的標準一致，但在部分醫院美國較強調 pH 試紙檢測，台灣則常輔以聽診或 pH 確認。