護理師照護一位薦骨處有第二級壓瘡的病人，應採取哪些護理介入？（選所有適合的）
A nurse is caring for a client with a stage 2 pressure ulcer on the sacrum. Which interventions should the nurse perform? (Select all that apply.)
- ATurn and reposition the client every 2 hours✓ 正解每2小時翻身並重新定位病人
- BMassage the reddened area to promote circulation按摩泛紅區域以促進血液循環
- CKeep the skin clean and dry✓ 正解保持皮膚清潔乾燥
- DApply a moisture barrier cream as prescribed✓ 正解依處方塗抹保濕屏障乳霜
- EPlace a donut-shaped cushion under the sacrum在薦骨下方放置甜甜圈形坐墊
第二級壓瘡涉及表皮與真皮損傷。翻身（A）可減壓，保持清潔乾燥（C）避免浸潤，保護霜（D）能防失禁造成刺激。B 是錯誤動作，按摩損傷組織會導致深層血管撕裂，惡化傷口。E 是錯誤動作，甜甜圈墊會導致周邊血流阻塞，加重組織缺血。
A stage 2 pressure ulcer involves damage to the epidermis and dermis. Turning the client (A) relieves pressure; keeping the skin clean and dry (C) prevents maceration; and a barrier cream (D) protects against irritation from incontinence. Option B is incorrect because massaging damaged tissue can tear deep blood vessels and worsen the wound. Option E is incorrect because a donut-shaped cushion obstructs peripheral blood flow and worsens tissue ischemia.
美國臨床多使用傷口造口護理師（WOCN）會診，台灣則多由病房護理師負責傷口評估與換藥。