護理師照護一位極度疲憊的病人。哪項活動最適合放入護理計畫?
A nurse is caring for a client who is severely fatigued. Which activity is best to include in the plan of care?
- AEncouraging a short nap after every activity鼓勵每次活動後短暫午睡
- BRequesting a stimulant medication要求給予刺激劑藥物
- CProviding periods of uninterrupted rest✓ 正解提供不受打擾的休息時間
- DScheduling all therapies in the morning將所有治療安排在上午
對於嚴重疲憊(severe fatigue)的病人,護理目標是能量保存(energy conservation)。將所有活動集中在同一時段會造成體力透支,反而加重疲憊。提供連續性的休息時間能讓身體系統有機會進行生理修復,減少代謝消耗。護理師應評估病人的耐受力,安排活動時採取「少量多次」的原則,優先執行必要護理,將非必要活動延後。
For a client with severe fatigue, the nursing goal is energy conservation. Scheduling all activities in the same block of time leads to physical exhaustion and worsens fatigue. Providing periods of uninterrupted rest allows body systems an opportunity for physiologic recovery and reduces metabolic demand. The nurse should assess the client's tolerance and arrange activities using the principle of 'small amounts, frequently,' prioritizing essential care and deferring non-essential activities.