病人有產生壓瘡的風險，護理計畫應包含哪些措施？（選所有適合的）
A client is at risk for developing pressure ulcers. Which interventions should the nurse include in the care plan? (Select all that apply.)
- AUse a pressure-relieving mattress✓ 正解使用減壓床墊
- BKeep skin clean and dry✓ 正解保持皮膚清潔乾燥
- CMaintain adequate protein intake✓ 正解維持充足的蛋白質攝取
- DMassage areas with redness按摩發紅部位
- EApply barrier cream to incontinent skin✓ 正解對失禁部位的皮膚塗抹保護膏
壓瘡（Pressure ulcer）預防的核心在於減壓、營養與皮膚護理。減壓氣墊床能分散體壓，避免局部缺血；保持皮膚乾燥能防止浸潤導致皮膚屏障受損；高蛋白飲食是組織修復與維持皮膚韌性的必要營養素；針對失禁部位塗抹保護膏（Barrier cream）能防止尿糞中的化學物質刺激皮膚。按摩紅腫處是錯誤行為，因為這會造成微血管損傷並加重發炎。
Prevention of pressure ulcers centers on pressure relief, nutrition, and skin care. A pressure-relieving mattress distributes body pressure and prevents local ischemia; keeping the skin dry prevents maceration and damage to the skin barrier; adequate protein intake is essential for tissue repair and maintenance of skin integrity; applying barrier cream to incontinent skin prevents irritation from urine and stool. Massaging reddened areas is incorrect because it causes microvascular damage and worsens inflammation.