— 生理適應 · EASY · MCQ —
一位打長手臂石膏的病人反映石膏下極度搔癢。護理師應提供何種建議？
A client with a long-arm cast reports intense itching under the cast. Which instruction should the nurse provide?
- AInsert a knitting needle to scratch the area插入編織針來撓癢處
- BUse a hair dryer on a cool setting to blow air into the cast✓ 正解使用吹風機的冷風檔將空氣吹入石膏內
- CSoak the cast in water to relieve the itch將石膏浸泡在水中以緩解癢感
- DApply baby powder inside the cast在石膏內撒嬰兒爽身粉
— Explanation · 中文詳解 —
石膏（Cast）內部搔癢是常見問題，但絕對禁止使用任何異物進入石膏內抓癢，因為石膏邊緣或內部極易損傷皮膚，造成難以癒合的傷口或感染。護理師應教導安全的方法，如使用冷風吹入（Cool air）來緩解不適，或透過敲擊石膏表面來轉移注意，同時監測皮膚完整性，預防壓力性損傷（Pressure injury）。
Itching inside a cast is a common problem, but inserting any foreign object into the cast to scratch is strictly forbidden because the cast edge or interior can readily injure the skin, leading to wounds that are difficult to heal or to infection. The nurse should teach safe methods, such as blowing cool air into the cast to relieve discomfort or tapping on the cast surface as distraction, while monitoring skin integrity to prevent pressure injury.