— 基本照護與舒適 · EASY · MCQ —
護理師照護一位發燒的病人。哪項舒適措施是適當的？
A nurse is caring for a client with a fever. Which comfort measure is appropriate?
- AChange damp linens promptly✓ 正解立即更換潮濕的床單
- BApply a cold ice bath使用冰冷水浴
- CUse heavy blankets to stop shivering使用厚毯子以停止寒顫
- DAdminister high-dose aspirin to everyone對所有病人給予高劑量阿斯匹靈
— Explanation · 中文詳解 —
發燒病人的護理重點在於提升舒適度並促進散熱，同時需監測體溫變化。更換濕被褥（A）能保持皮膚乾爽，預防因汗水導致的皮膚浸漬，並讓病人感到舒適。冰水澡會引起寒顫（Shivering），導致肌肉產熱增加，反而使體溫上升，且會導致血管收縮。厚毯會阻礙散熱，aspirin 則非常規發燒護理首選（尤其在兒童身上有風險）。
Comfort care for a febrile client focuses on promoting heat loss while monitoring temperature. Changing damp linens keeps the skin dry and prevents maceration. Ice baths trigger shivering, which increases heat production via muscle activity and causes vasoconstriction. Heavy blankets trap heat, and high-dose aspirin is not routine—especially in pediatrics due to Reye's syndrome risk.