— 基本照護與舒適 · EASY · MCQ —
一位病人因醫院環境噪音而失眠，護理師應優先採取哪項措施？
A client is struggling with insomnia due to hospital environmental noise. Which intervention should the nurse prioritize?
- AOffer the client a cup of warm tea提供一杯溫茶
- BCluster nursing care to minimize interruptions✓ 正解整合護理活動以減少干擾
- CDim the lights and close the curtains調暗燈光並拉上窗簾
- DAdminister a prn sleep medication給予處方備用安眠藥物
— Explanation · 中文詳解 —
醫院環境中的頻繁護理活動（如每小時測量生命徵象、給藥、抽血）是造成病人失眠的主因。將護理活動整合進行（Cluster nursing care）能讓病人獲得更長的連續休息時間（Uninterrupted sleep），是提升住院睡眠品質的首要非藥物策略，優於立即給予助眠藥物（Prn medication）。
Frequent nursing activities in the hospital environment (such as hourly vital signs, medication administration, and blood draws) are the primary cause of inpatient insomnia. Clustering nursing care allows the client longer periods of uninterrupted sleep and is the foremost non-pharmacologic strategy for improving inpatient sleep quality, taking priority over immediate administration of a PRN sleep medication.