— 基本照護與舒適 · EASY · SATA —
護理師準備為高齡病人執行床上擦澡。下列哪些行動是護理師應採取的？（選所有適合的）
A nurse is preparing to provide a bed bath to an elderly client. What actions should the nurse perform? (Select all that apply.)
- AMaintain the client's privacy by covering exposed areas✓ 正解透過覆蓋暴露部位來維護病人隱私
- BTest the water temperature before application✓ 正解使用前測試水溫
- CEncourage the client to assist as much as possible✓ 正解鼓勵病人盡可能協助
- DUse soap on all areas to ensure maximum cleanliness在所有部位使用肥皂以確保最大程度的清潔
- EClean from the least contaminated to the most contaminated area✓ 正解從最不受污染的部位開始清潔至最受污染的部位
— Explanation · 中文詳解 —
床上擦澡應維持病人隱私與安全。測試水溫（B）防燙，鼓勵協助（C）維持活動能力。清潔原則皆遵循由乾淨至髒污（E）。過度使用肥皂（D）反而會破壞高齡者脆弱皮膚的皮脂膜，導致乾燥搔癢，並非所有區域都需要使用肥皂。
A bed bath should preserve the client's privacy and safety. Testing the water temperature (B) prevents burns, and encouraging the client to assist (C) helps maintain functional ability. The principle of cleansing is always to move from cleanest to dirtiest areas (E). Excessive use of soap (D) actually destroys the fragile sebum layer of elderly skin, causing dryness and itching; not every area requires the use of soap.
✦ 台美臨床差異
無差異，皆強調舒適與皮膚完整性維護。