— 基本照護與舒適 · HARD · MCQ —
護理師照護一位高體溫（Hyperthermia）病人。護理首要目標為何？
A nurse is caring for a client with hyperthermia. What is the priority nursing goal?
- AEncourage the client to eat high-calorie foods鼓勵病人攝取高熱量食物
- BAdminister high-dose antibiotics immediately立即給予高劑量抗生素
- CProvide a heavy blanket提供厚重的毯子
- DLower the body temperature to a safe range✓ 正解將體溫降至安全範圍
— Explanation · 中文詳解 —
高體溫（Hyperthermia）對組織（特別是神經系統）有害，降低體溫至安全範圍是護理的第一要務。抗生素需醫師診斷後給予；厚毯會阻礙散熱；高熱量食物在急性期會增加代謝負荷。物理降溫（如環境冷卻、擦拭）是首選。
Hyperthermia is harmful to tissues, particularly the nervous system, so lowering the body temperature to a safe range is the first priority of nursing care. Antibiotics may be given only after a physician's diagnosis; heavy blankets impair heat dissipation; and high-calorie foods increase metabolic load during the acute phase. Physical cooling measures (such as environmental cooling and sponge bathing) are the preferred interventions.
✦ 台美臨床差異
美台皆強調物理性降溫優先於藥物降溫（若體溫未達危險範圍），此為護理共通價值。