— 基本照護與舒適 · EASY · MCQ —
護理師協助老年病人進行個人衛生清潔。哪項措施能確保病人的安全與舒適？
A nurse is assisting an elderly client with personal hygiene. Which action ensures the client's safety and comfort?
- AEncouraging the client to stand independently during the shower鼓勵病人在淋浴時獨立站立
- BLeaving the bathroom door unlocked for quick access浴室門不鎖以便快速進入
- CUsing a strong, scented soap to ensure thorough cleaning使用強效香味肥皂以確保徹底清潔
- DAdjusting the water temperature to 110°F (43°C)✓ 正解將水溫調整為 110°F (43°C)
— Explanation · 中文詳解 —
高齡者皮膚較薄且對溫度感知遲鈍，水溫過高極易燙傷。設定在 40-43°C（約 105-110°F）是安全的熱舒適範圍。B 選項會降低隱私；A 選項對虛弱長者風險過高；C 選項可能導致皮膚乾燥過敏，應使用溫和不刺激的產品。
Older adults have thin skin and diminished temperature perception, making them highly susceptible to scalding from overly hot water. A water temperature of 40-43°C (about 105-110°F) is within a safe and comfortable range. Option B compromises privacy; option A poses an unacceptable risk for frail older adults; and option C may cause skin dryness and irritation, so mild, non-irritating products should be used.
✦ 台美臨床差異
美國護理機構重視 Resident Rights（居住者權利），台灣則更偏向保護主義，護理師常需更主動介入以防範跌倒。