護理師照護一位有壓瘡風險的病人，應採取哪些照護計畫？（選所有適合的）
A nurse is caring for a client who is at risk for developing pressure ulcers. Which interventions should the nurse include in the plan of care? (Select all that apply.)
- AReposition the client every 2 hours✓ 正解每2小時重新安置病人
- BMassage reddened bony prominences按摩發紅的骨突出部位
- CKeep the skin clean and dry✓ 正解保持皮膚清潔乾燥
- DApply cornstarch to the skinfolds在皮膚皺摺處塗抹玉米澱粉
- EUtilize pressure-relieving mattress pads✓ 正解使用減壓床墊
預防壓瘡（Pressure Ulcer）需透過減壓、保持皮膚清潔乾爽及營養支持來達成。定期翻身（每 2 小時）是避免局部組織長期缺血的最有效方式。保持皮膚清潔乾燥可防止潮濕導致皮膚浸潤（Maceration），進而降低組織破損機率。使用減壓床墊則能分散壓力，特別針對骨突處進行保護。這些措施是護理計畫中預防壓瘡的黃金標準。
Prevention of pressure ulcers requires pressure relief, maintenance of clean and dry skin, and nutritional support. Regular repositioning (every 2 hours) is the most effective way to prevent prolonged local tissue ischemia. Keeping the skin clean and dry prevents moisture-related maceration and reduces the risk of tissue breakdown. Pressure-redistribution mattresses help distribute pressure, especially over bony prominences. Together these measures represent the gold standard for pressure-ulcer prevention in nursing care plans.