護理師針對尿失禁病人進行護理計畫，應包含哪些措施？（選所有適合的）
A nurse is caring for a client with urinary incontinence. Which interventions should the nurse include in the plan of care? (Select all that apply.)
- AMaintain a regular toileting schedule✓ 正解維持規律的如廁時間表
- BRestrict fluid intake after 18:00✓ 正解下午六點後限制水分攝取
- CEncourage the client to perform Kegel exercises✓ 正解鼓勵客戶進行凱格爾運動
- DApply an indwelling urinary catheter放置留置導尿管
- EProvide skin care after every incontinent episode✓ 正解每次失禁後提供皮膚護理
針對尿失禁病患，護理計畫應聚焦於行為矯正與皮膚防護。定時解尿（Bladder Training）能訓練膀胱功能；限制夜間水分攝取可減少夜尿頻率；凱格爾運動（Kegel Exercises）能強化骨盆底肌群，改善控尿能力；每次失禁後徹底清潔皮膚是防止失禁性皮膚炎（IAD）的必要措施。導尿管的使用需極度謹慎，因其是導致導尿管相關尿路感染（CAUTI）的主要因素。
For clients with urinary incontinence, the nursing care plan should focus on behavioral modification and skin protection. Timed voiding (bladder training) trains bladder function; limiting nighttime fluid intake reduces nocturia; Kegel exercises strengthen the pelvic floor muscles and improve continence; thorough skin cleansing after each incontinence episode is essential to prevent incontinence-associated dermatitis (IAD). Use of an indwelling urinary catheter requires extreme caution because it is the main cause of catheter-associated urinary tract infections (CAUTI).
美國醫院對於 CAUTI（導尿管相關尿路感染）的預防有嚴格的品質指標。護理師必須每天評估導尿管的必要性，並儘早移除（Nurse-driven removal protocol），這是美國護理界減少院內感染的重要指標。