— 基本照護與舒適 · MEDIUM · MCQ —
對於臥床病人，哪項評估是優先的？
Which assessment is priority for a client on bed rest?
- APatient's preferred TV channel病人偏好的電視頻道
- BRoom decoration preferences房間裝飾偏好
- CPatient's favorite hobby病人最喜愛的嗜好
- DSkin integrity over bony prominences✓ 正解骨突處的皮膚完整性
— Explanation · 中文詳解 —
臥床病人因活動受限，血液循環減緩且長期受壓，最嚴重的生理風險為壓力性損傷（Pressure injury）。優先評估骨突處（Bony prominences）的皮膚狀況，能在受損初期介入，防止組織壞死。雖然心理需求（選項 C, B, A）在全人照護中重要，但在 NCLEX 的 priority 決策中，生理安全（Safety）永遠優先於心理舒適。
Clients on bed rest experience restricted activity, decreased blood circulation, and prolonged pressure, and the most severe physiological risk is pressure injury. Prioritizing assessment of the skin over bony prominences allows for intervention at the earliest stage of damage to prevent tissue necrosis. Although psychosocial needs (options C, B, A) are important in holistic care, in NCLEX priority decision-making, physiological safety always takes precedence over psychological comfort.