護理師預防病人發生壓瘡，下列哪些處置適當？（選所有適合的）
A nurse is preventing pressure ulcers in a client. Which interventions are appropriate? (Select all that apply.)
- AReposition every 2 hours✓ 正解每2小時翻身
- BKeep the skin clean and dry✓ 正解保持皮膚清潔乾燥
- CMassage reddened bony prominences按摩發紅的骨突處
- DUse pillows to bridge bony prominences✓ 正解使用枕頭架空骨突處
- EApply powder to skin folds在皮膚摺皺處塗抹粉劑
壓瘡預防核心：減壓與保持皮膚完整性。A、B、D 正確：2 小時翻身、保持乾爽、使用軟墊懸空骨突處（Bridge）均可減壓。C 錯誤：按摩骨突處會損傷皮下微血管，禁止按摩發紅部位。E 錯誤：爽身粉容易積聚潮濕與細菌，不建議使用於皮膚皺摺處。
The core of pressure ulcer prevention is to relieve pressure and maintain skin integrity. Options A, B, and D are correct: turning every 2 hours, keeping the skin clean and dry, and using pillows to bridge bony prominences all redistribute pressure. Option C is incorrect: massaging bony prominences can damage subcutaneous capillaries, and massaging reddened areas is contraindicated. Option E is incorrect: powder tends to accumulate moisture and bacteria, so it is not recommended for use in skin folds.
美台對壓瘡預防的規範完全一致，均強調 Braden Scale 的評估與定時翻身。