# 新置入的盲插鼻胃餵食管將用於首次藥物劑量。使用前哪種確認方式是最好的？ > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=522672&lang=zh-tw > language: zh-TW > subject: Adverse Effects/Contraindications/Interactions > category: PPT ## 題目 新置入的盲插鼻胃餵食管將用於首次藥物劑量。使用前哪種確認方式是最好的？ ## 選項 1. 注入空氣並在胃部上方聽診是否有「噗」聲。 2. 詢問病患是否感覺管路在胃中。 3. 取得管路初始位置所需的放射線學確認。 **✔ 正確答案** 4. 將管路末端放入水中並觀察是否有氣泡。 **正確答案: 3** ## 解析 放射線學確認是盲插餵食管首次使用前的標準驗證方式。空氣聽診、病患感覺和氣泡測試不能可靠地排除管路置於呼吸道。 ## 深入解析 快速解答 使用所需的放射線學方法確認盲插管路的初始位置。 為何這是正確的 透過錯置的管路給藥可能導致吸入性肺炎或直接肺部損傷。床邊檢查支持持續評估，但不能取代初始的放射線學確認。 簡單類比或心像 將每次輸注視為一個受控的臨床系統：核對產品和通路，辨識變化的徵兆，停止可預防的暴露，穩定病患，並確認反應。 記憶點 產品、通路、相容性、輸注徵兆、保護措施和再評估。 NCLEX 決策原則 選擇能預防最即時輸注相關傷害的措施，同時保留血管通路和醫囑診斷證據。 為何其他選項是錯誤的 重新啟動可疑產品、繞過安全裝置、強行通過阻塞管路或延遲再評估的選項，可能將可逆的警訊轉變為嚴重傷害。References 1ASPEN Safe Practices for Enteral Nutrition Therapy管路位置驗證、沖水、單獨給藥以及基於證據的阻塞預防和管理。 ## 臨床情境 血液製品、營養和靜脈輸液安全審查 核對產品、醫囑、途徑、通路裝置、過濾器或管路、相容性、基準發現、新出現的不良徵兆、反應計畫和可測量的後續追蹤。 ## 相同主題題目 - [A nurse is reviewing the morning lab results for an adult client receiving warfarin for at…](https://mymerci.kr/pages/nclex_q.php?qn_id=360515&lang=zh-tw) - [A client is admitted to the emergency department after ingesting an unknown amount of acet…](https://mymerci.kr/pages/nclex_q.php?qn_id=362720&lang=zh-tw) - [A client with chronic heart failure is prescribed metoprolol 25 mg orally twice daily. Bef…](https://mymerci.kr/pages/nclex_q.php?qn_id=362756&lang=zh-tw) - [A 28-year-old client with type 1 diabetes receives regular insulin 6 units and NPH insulin…](https://mymerci.kr/pages/nclex_q.php?qn_id=362792&lang=zh-tw) - [A client receives IV vancomycin 1 g every 12 hours for MRSA bacteremia. Before the next do…](https://mymerci.kr/pages/nclex_q.php?qn_id=362833&lang=zh-tw) - [A client with bipolar disorder has been taking lithium carbonate 600 mg orally three times…](https://mymerci.kr/pages/nclex_q.php?qn_id=362894&lang=zh-tw) - [An 80-year-old male with heart failure is prescribed digoxin 0.125 mg daily. During mornin…](https://mymerci.kr/pages/nclex_q.php?qn_id=372686&lang=zh-tw) - [A 38-year-old female with rheumatoid arthritis is being discharged with a new prescription…](https://mymerci.kr/pages/nclex_q.php?qn_id=372687&lang=zh-tw) ## 以其他語言閱讀 - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=522672&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=522672&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=522672&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=522672&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=522672&lang=vi) --- More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw) _僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_