— 基本照護與舒適 · EASY · MCQ —
護理師協助老年病人沐浴。下列哪項措施最能維護病人的安全與隱私？
A nurse is assisting an elderly client with bathing. Which action by the nurse maintains the client's safety and privacy?
- ACovering the client with a towel while washing extremities✓ 正解清洗四肢時用毛巾覆蓋病人
- BUsing extremely hot water to ensure bacteria removal使用極熱的水以確保去除細菌
- CLeaving the bathroom door wide open for observation將浴室門完全敞開以便觀察
- DAllowing the client to get in and out of the tub alone允許病人獨自上下浴缸
— Explanation · 中文詳解 —
維持隱私與安全是護理基本功。洗澡時使用浴巾覆蓋非清潔部位，能有效保護隱私並預防病人失溫。完全敞開門會干擾隱私；高齡病人肌力與平衡力弱，獨自進出浴缸極具跌倒風險；水溫過高則有造成燙傷的危險，應確保溫水且先測溫。
Maintaining privacy and safety are fundamentals of nursing care. Using a towel to cover non-cleaned areas during bathing effectively protects the patient's privacy and prevents hypothermia. Leaving the door wide open compromises privacy; older adults have reduced muscle strength and balance, making solitary entry into and exit from the bathtub a high fall risk; water that is too hot can cause burns, so the temperature should be confirmed as warm and tested in advance.
✦ 台美臨床差異
美國醫院強調「患者主權」與極致隱私；台灣臨床空間較擠，常需多床共用衛浴，隱私保護更需主動採取遮蔽手段。