— 基本照護與舒適 · MEDIUM · MCQ —
下列哪位病人洗澡時發生熱傷害的風險最高？
Which client is at the highest risk for thermal injury during a bath?
- AA 30-year-old with a minor ankle sprain30歲且僅有輕微踝關節扭傷的患者
- BA 55-year-old with controlled hypertension55歲且高血壓受控的患者
- CA 40-year-old recovering from an appendectomy40歲且正從闌尾切除術中恢復的患者
- DA 75-year-old with peripheral neuropathy✓ 正解75歲且患有周邊神經病變的患者
— Explanation · 中文詳解 —
熱傷害的風險評估重點在於病人的「感覺辨識能力」。患有周邊神經病變（Peripheral Neuropathy）的病人，常因感覺神經受損，導致對溫度、痛覺的感知能力顯著降低。在洗澡時，他們可能無法察覺水溫過高，從而導致嚴重的二度或三度燙傷。相較於其他類型的病人，此類群體在日常活動中對環境危險的自我防護能力最弱，屬於高風險族群。
Thermal injury risk hinges on the ability to perceive temperature. A client with peripheral neuropathy has reduced or absent thermal and pain sensation and cannot detect dangerously hot bathwater, putting them at the highest risk for second- or third-degree burns during bathing.