— 基本照護與舒適 · EASY · MCQ —
執行手術傷口換藥時，下列哪項措施是正確的？
Which of the following is an appropriate action when performing a dressing change for a surgical wound?
- AClean from the center of the incision outward✓ 正解從切口中心向外清潔
- BUse the same gauze pad for multiple passes同一塊紗布重複擦拭多次
- CClean the wound from the dirtiest area to the cleanest從最髒處向最乾淨處清潔傷口
- DTouch the sterile field with clean gloves以戴乾淨手套的手觸碰無菌區
— Explanation · 中文詳解 —
無菌換藥（Sterile Dressing Change）的核心原則是「由乾淨到髒」（Clean to Dirty）。傷口切口本身是相對最乾淨的區域，應先清潔；隨後由內向外擦拭，將細菌從傷口中心帶往周圍皮膚，避免反覆污染。臨床實作中，護理師需嚴格遵守無菌技術（Aseptic Technique），確保無菌手套與無菌區不被污染。
The core principle of sterile dressing change is to clean from clean to dirty. The surgical incision itself is the relatively cleanest area and should be cleaned first; cleaning then proceeds from the center outward, carrying bacteria from the wound center to the surrounding skin and avoiding repeated contamination. In clinical practice, the nurse must strictly follow aseptic technique to ensure that sterile gloves and the sterile field are not contaminated.