— 基本照護與舒適 · MEDIUM · MCQ —
住院病人出現睡眠障礙，護理師應優先執行哪項措施？
A client is experiencing sleep disturbances while in the hospital. Which intervention should the nurse implement first?
- AAdministering a PRN sedative medication給予處方箋用鎮靜劑
- BTurning off all lights and closing the door關閉所有燈光並關上房門
- CTeaching the client deep breathing exercises教導客戶深呼吸練習
- DClustering nursing care activities to allow for rest periods✓ 正解集中護理活動以允許休息時間
— Explanation · 中文詳解 —
住院病人睡眠受中斷是常見問題，將護理活動（生命徵象量測、給藥、抽血）集中處理（Clustering care）能最大化連續睡眠時間，這是最有效且無侵入性的第一步處置。藥物應是最後手段，環境控制與行為調整雖重要，但需先安排好時間規劃。
Sleep disturbance in hospitalized clients is a common problem. Clustering nursing care activities (vital signs, medication administration, blood draws) together maximizes continuous sleep time and is the most effective and noninvasive first step. Medications should be a last resort; environmental control and behavioral modifications are important but require careful time planning first.
✦ 台美臨床差異
美國護理重視 Sleep Hygiene 的護理紀錄；台灣臨床護理師常因工作量大，集中護理活動是提升病人滿意度的重要指標。