護理師正在進行大腸鏡檢查的衛教。哪項衛教內容對於降低術中併發症風險最為重要？
A nurse is teaching a client about a scheduled colonoscopy. Which instruction is most important for reducing the risk of complications during the procedure?
- AArrange for a responsible adult to drive you home.安排一位負責的成年人開車送你回家。
- BInform the doctor if you take any blood-thinning medications.✓ 正解如果你服用任何抗凝血藥物，請告知醫師。
- CExpect some flatulence after the procedure is completed.檢查完成後可能會有些許脹氣。
- DFollow a clear liquid diet the day before the procedure.在檢查前一天遵循清流質飲食。
大腸鏡檢查中，醫師可能會進行切片（Biopsy）或息肉切除。如果病人正在服用抗凝血劑或抗血小板藥物（如 Warfarin, Aspirin, Clopidogrel），出血的風險會大幅增加。因此，確認用藥史是「降低風險潛力」的關鍵步驟。清流質飲食（D）是為了檢查視線清晰，雖然重要但非直接生命危險。排氣（C）是術後正常現象。返家接送（A）是術後安全考量。在術前準備中，預防術中大出血（透過確認抗凝血藥物）是醫療團隊最優先考慮的安全性問題。
Informing the provider about blood-thinning medications is the most critical instruction to reduce the risk of severe bleeding during potential biopsies or polypectomies. While arranging transportation and following a clear liquid diet are important for post-procedure safety and bowel preparation, they do not directly prevent life-threatening intra-procedural hemorrhage. Recognizing normal post-procedure flatulence is also less critical than preventing surgical complications.
美國法規對「Informed Consent」和術前用藥篩選（Medication Reconciliation）要求極嚴，RN 必須確認病人已停用相關藥物。台灣則多由診間護理師或麻醉科在門診先行確認，但病房或內視鏡室護理師的最後把關同樣關鍵。