— 基本照護與舒適 · MEDIUM · MCQ —
針對長期臥床的病人，下列哪項評估發現是預防壓瘡的優先重點？
Which assessment finding is a priority for a client on bed rest to prevent pressure injuries?
- AApplying lotion to dry skin areas在乾燥皮膚部位塗抹乳液
- BEncouraging a high-protein diet鼓勵攝取高蛋白飲食
- CEnsuring the call bell is within reach確保呼叫鈴在觸手可及之處
- DChecking the skin over bony prominences every shift✓ 正解每班次檢查骨突處的皮膚狀況
— Explanation · 中文詳解 —
壓瘡（Pressure injury）預防的核心是「評估與定期減壓」。長期臥床病人極易在骨突處（如薦骨、腳跟、股骨大轉子）產生組織壞死。每班評估（Every shift assessment）能及早發現皮膚發紅（Blanchable erythema）現象，從而採取翻身或使用減壓墊。高蛋白飲食與呼叫鈴雖重要，但皮膚評估是預防壓瘡進展的直接手段。
The core of pressure injury prevention is 'assessment and regular pressure relief.' Long-term bedridden patients are prone to tissue necrosis at bony prominences (such as the sacrum, heels, and greater trochanter). Every-shift assessment can detect blanchable erythema early, allowing repositioning or use of pressure-relief devices. High-protein diet and call bell availability are important, but skin assessment is the direct means of preventing pressure injury progression.