護理師照護一位老年病人。下列哪項護理措施最能支持皮膚完整性？
A nurse is caring for an older adult client. Which nursing intervention best supports skin integrity?
- AApplying lotion to intact skin immediately after bathing✓ 正解洗澡後立即在完整的皮膚上塗抹乳液
- BBathing the client with hot water daily每天用熱水為客戶洗澡
- CUsing alcohol-based cleansers to keep skin dry使用含酒精的清潔劑以保持皮膚乾燥
- DEncouraging the client to avoid protein in the diet鼓勵客戶在飲食中避免攝取蛋白質
老年人的皮膚特徵為皮脂腺分泌減少、表皮變薄，極易乾燥並產生裂紋。維持皮膚完整性（Skin Integrity）的護理重點在於「保濕」與「溫和清潔」。沐浴後趁皮膚微濕時塗抹乳液，能有效封鎖水分（Lock in moisture）。過熱的水溫會洗去保護性的皮脂，酒精成分的清潔劑會加劇乾燥，而蛋白質則是修復受損組織的原料，限制蛋白質攝取會嚴重影響皮膚修復能力，因此選項 A 是最符合生理需求的照護措施。
The skin of older adults is characterized by decreased sebaceous gland secretion and a thinned epidermis, making it extremely prone to dryness and cracking. The nursing focus for maintaining skin integrity is on moisturizing and gentle cleansing. Applying lotion while the skin is still slightly damp after bathing effectively locks in moisture. Water that is too hot washes away the protective sebum, alcohol-based cleansers worsen dryness, and protein is the raw material for repairing damaged tissue, so restricting protein intake would severely impair the skin's ability to repair itself. Therefore, option A is the care measure that best matches physiological needs.