— 基本照護與舒適 · EASY · MCQ —
護理師協助行動受限的病人進行床上擦澡，下列何者最能維持病人安全與舒適？
A nurse is assisting a client with mobility limitations to perform bed baths. What is the most appropriate action to maintain client safety and comfort?
- AExpose the entire body to ensure thorough cleaning暴露全身以確保徹底清潔
- BRaise the bed to a comfortable working height for the nurse✓ 正解將床墊調整至護理師舒適的工作高度
- CUse soap on all parts of the body including the face在身體所有部位（包括臉部）使用肥皂
- DKeep the side rails down to facilitate ease of movement放下床欄以利活動
— Explanation · 中文詳解 —
人體工學原則首重護理師的身體力學，將病床升至腰部高度可減少背部壓力並提升操作精準度。安全性維護上，側欄平時應升起以防跌倒，僅在操作側降低；清潔時應避免臉部使用肥皂以免刺激，且需重視隱私遮蔽，不應完全裸露全身。
Principles of body mechanics dictate that raising the bed to waist height reduces back strain on the nurse and improves precision. For safety, side rails should normally remain up to prevent falls and only be lowered on the working side. During bathing, soap should be avoided on the face to prevent irritation, and the client's privacy must be maintained by exposing only the area being washed rather than the entire body.
✦ 台美臨床差異
美台臨床皆極重視人體工學，但在台灣部分病房設備較舊，床高調整受限，護理師需更注意姿勢。