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基本照護與舒適 · EASY · MCQ

護理師建議戶外工作者預防中暑,哪項建議正確?

Which action is correct for a nurse to take to prevent heat stroke in a client working outdoors?

  • AWear dark-colored, heavy clothing
    穿著深色、厚重的衣物
  • BTake frequent breaks in a cool, shaded area✓ 正解
    在陰涼處頻繁休息
  • CSchedule intense work during the hottest part of the day
    安排在最炎熱的時段進行劇烈工作
  • DDrink fluids only when thirsty
    只在口渴時補充水分
Explanation · 中文詳解

中暑(Heat stroke)是熱傷害中最嚴重的類型,特徵為體溫調節失常導致核心體溫超過 40°C(104°F)。預防中暑的核心在於「散熱」與「水分補充」。護理師在衛教時應強調主動預防,而非等到出現症狀才行動。在涼爽陰涼處定期休息(B)能有效中斷體溫持續攀升。臨床思路上,應識別出錯誤的觀念:例如口渴才喝水通常已代表脫水(D),或是穿著阻礙排汗的衣物(A)。有效的預防措施必須能促進熱量的傳導與對流散失。

Heat stroke is the most severe form of heat-related illness, characterized by failure of thermoregulation and a core body temperature exceeding 40°C (104°F). The core of prevention is heat dissipation and fluid replacement. The nurse should emphasize proactive prevention rather than waiting for symptoms to appear. Regularly resting in a cool, shaded area (B) effectively interrupts the continuing rise in body temperature. Clinical reasoning involves identifying incorrect beliefs: drinking only when thirsty usually means dehydration has already occurred (D), and wearing clothing that hinders sweating (A). Effective prevention must promote heat dissipation via conduction and convection.

✦ 台美臨床差異

美國 OSHA(職業安全與健康管理局)對戶外工作有嚴格的「水、陰涼、休息(Water. Rest. Shade.)」規定。NCLEX 題目常反映這些職業安全指引。

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