護理師照護一位有壓瘡病史的病人，應包含哪些護理措施？（選所有適合的）
A nurse is caring for a client with a history of pressure ulcers. Which interventions should the nurse include in the plan of care? (Select all that apply.)
- AReposition the client every 2 hours✓ 正解每2小時為病人翻身
- BMassage reddened bony prominences to increase circulation按摩充血的骨突處以增加循環
- CMaintain a high-protein, vitamin C-rich diet✓ 正解維持高蛋白、富含維生素C的飲食
- DPlace the client in a side-lying position at a 30-degree angle✓ 正解讓病人保持30度角的側臥姿勢
- EUse moisturizing foam dressings for bony prominences在骨突處使用保濕泡沫敷料
預防壓瘡的核心在於減壓、營養與保護。每兩小時翻身、30度側臥位（避免直接壓迫股骨大轉子）均是標準減壓措施。高蛋白與維生素 C 對組織修復至關重要。按摩紅腫部位已被證實會損傷皮下微血管，應絕對避免；使用敷料則需根據傷口狀況評估，非必要時不建議過度覆蓋。
Pressure ulcer prevention centers on pressure relief, nutrition, and skin protection. Turning the client every 2 hours and using a 30-degree side-lying position (which avoids direct pressure on the greater trochanter) are standard pressure-relief measures. High protein and vitamin C intake are essential for tissue repair. Massaging reddened areas has been shown to damage subcutaneous capillaries and should be strictly avoided; use of dressings should be based on assessment of the wound and is not recommended as a routine prevention measure when not indicated.
美方機構對於壓瘡分級與預防有嚴格的風險評估指標（如 Braden scale）；台灣臨床則較依賴護理師的臨床經驗判斷。