# 剛插入一條小口徑灌食管。使用前，護理師檢視圖示路徑。點選即使管路通過氣道後方，仍使經由此管給藥不安全的區段。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=581183&lang=zh-tw  
> language: zh-TW  
> subject: Basic Care and Comfort  
> category: BCC

## 題目

剛插入一條小口徑灌食管。使用前，護理師檢視圖示路徑。點選即使管路通過氣道後方，仍使經由此管給藥不安全的區段。

![](https://mymerci.kr/data/nclex/hotspot/regen_20260908_2350/HSR520.svg)

## 解析

C 包含遠端尖端和開口，仍位於胃上方的食道內。

## 深入解析

快速解答
C。C 包含遠端尖端和開口，仍位於胃上方的食道內。
為何這是最佳選擇
避開氣管是必要的，但並不足夠。遠端管路和輸送開口必須到達預期的胃腸位置後才能灌食。請勿使用圖示管路；依規範取得置放確認並矯正錯位。空氣注入聽診並非適當的替代方法。
臨床情境
觀察結果為虛構教學資料。請應用所述情境；所選特徵本身不能取代完整的床邊評估。
記憶口訣
追蹤管路至所有輸送開口；僅近端路徑無法確立使用準備就緒。
決策規則
追蹤管路至所有輸送開口；僅近端路徑無法確立使用準備就緒。
為何其他區域不合適
A 顯示入口，B 顯示近端區段；兩者皆無法確立灌食將從何處離開管路。D 是胃，但沒有遠端管路進入可選擇的胃部區域。C 指出實際輸送區段仍位於胃上方。
**資料來源**
- 腸道管路評估必須確認其遠端位置和側孔位置。

## 重要概念

- **Feeding-tube side ports must reach the intended destination** — 追蹤管路至所有輸送開口；僅近端路徑無法確立使用準備就緒。
- **Comparison with context** — 近端路徑位於氣道後方，但遠端位置仍不安全。

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