— 安全與感染控制 · MEDIUM · MCQ —
一位心衰竭病人需要頻繁如廁。下列哪項護理介入最能確保其安全？
A client with a history of heart failure requires frequent toileting. What is the most effective nursing intervention to ensure safety?
- ALimiting fluids significantly to reduce bathroom trips大幅限制液體攝取以減少如廁次數
- BProviding a bedside commode close to the bed✓ 正解提供靠近床邊的床旁馬桶
- CEncouraging the client to walk to the bathroom for exercise鼓勵病人走路去廁所以進行運動
- DInstructing the client to get up quickly to avoid incontinence指導病人快速起身以避免失禁
— Explanation · 中文詳解 —
心衰竭病人因藥物（利尿劑）或體液過多易有頻尿，使用床邊便盆（Bedside commode）能大幅縮短走動距離，減少跌倒機率。鼓勵走動雖好，但應評估病人體力；限制水分需醫囑且不可過度；動作太快易引發姿勢性低血壓。
Clients with heart failure may experience frequent urination due to medications (diuretics) or fluid overload. Using a bedside commode greatly shortens the distance the client must walk and reduces the risk of falling. Encouraging ambulation is beneficial but should be based on the client's strength; restricting fluids requires a physician's order and should not be excessive; getting up too quickly can cause orthostatic hypotension.
✦ 台美臨床差異
台灣醫院床邊便盆使用率因病房空間設計較小而較受限，但原則上皆推廣此設備以防跌。