— 基本照護與舒適 · MEDIUM · MCQ —
照護一位體溫過高（Hyperthermia）病人，冷卻措施的目標為何？
A nurse is caring for a client with hyperthermia. What is the goal of cooling measures?
- AUse ice water for rapid heat dissipation使用冰水以快速散熱
- BCool the body only when shivering occurs僅在出現寒顫時為身體降溫
- CRapidly cool the body to return to normal temperature快速為身體降溫以恢復正常體溫
- DLower the body temperature gradually to prevent shivering✓ 正解逐漸降低體溫以預防寒顫
— Explanation · 中文詳解 —
高體溫（Hyperthermia）的護理核心在於移除過多熱能同時避免身體啟動代償性產熱機制。當降溫速度過快，身體會感知到低溫壓力，進而引發寒顫（Shivering），此過程會透過肌肉收縮大量產熱，反而造成核心體溫不降反升，並增加病人的代謝耗氧量。因此，安全降溫的策略是採取緩慢、漸進的方式，以維持病人的舒適度並穩定代謝。
Placing the client in a side-lying position prevents aspiration of oral secretions or cleaning solutions into the airway, which is critical since unconscious clients lack protective reflexes. This positioning ensures fluids drain out of the mouth rather than entering the respiratory tract.