# 護理師為一位意識不清的病人提供口腔護理。哪項行動最安全？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397298&lang=zh-tw  
> language: zh-TW  
> subject: Elimination  
> category: BCC

## 題目

護理師為一位意識不清的病人提供口腔護理。哪項行動最安全？

## 選項

1. 將病人平躺並將水倒入其口中。
2. 每小時僅使用檸檬甘油棉棒作為唯一的口腔護理。
3. 若假牙鬆動，則將其留在原位。
4. 將病人轉向側邊，並視需要使用抽吸。 **✔ 正確答案**

**正確答案: 4**

## 解析

側躺姿勢和抽吸可降低意識不清病人口腔護理期間的吸入風險。將水倒入病人口中或將鬆動的假牙留在原位是不安全的。口腔護理應溫和有效，而非僅依賴檸檬甘油棉棒。

## 深入解析

臨床判斷
利用病人線索、時間點、檢驗數據及安全風險，選擇最符合意識不清病人口腔護理的回應。

記憶提示
將最強的線索群與最安全的護理判斷配對。

KR vs US
NCLEX考題獎勵基於線索的優先思考，而非單獨的回憶。

## 臨床情境

臨床實務指引
對於意識不清病人口腔護理，將完整的線索模式與病人當前的穩定性、醫囑數據及預期的護理範圍進行比較。

注意
當完整情境改變了優先次序或安全性時，不要僅根據單一線索選擇行動。

## 重要概念

- **口腔護理** — 清潔和濕潤口腔，以促進舒適並降低感染風險。
- **吸入** — 液體或物質進入呼吸道。
- **抽吸** — 從口腔或呼吸道移除分泌物或液體。

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