— 照護管理 · MEDIUM · MCQ —
護理師照顧臨終病人，下列哪項行動能提供舒適？
A nurse is caring for a client who is dying. Which of the following is an appropriate action to provide comfort?
- AEncouraging the client to eat to maintain strength鼓勵病人進食以維持體力
- BTurning the client frequently to prevent skin breakdown頻繁翻身以預防皮膚破損
- CAdministering pain medication at scheduled intervals rather than PRN✓ 正解按時程間隔給予止痛藥，而非按需給予
- DLimiting visitors to ensure the client rests限制訪客以確保病人休息
— Explanation · 中文詳解 —
臨終照護的核心目標是舒適（Comfort Care）。對於疼痛管理，持續給藥能維持血中濃度穩定，預防突發性疼痛，比 PRN（需要時給予）更能有效緩解痛苦。過度翻身或強迫進食在生命末期常會增加病人的不適感與痛苦。
Administering pain medication at scheduled intervals is appropriate to maintain steady drug levels and prevent breakthrough pain, which aligns with the goal of comfort care. Forcing nutrition or frequent turning can cause unnecessary distress in a dying client, while limiting visitors contradicts the principle of supporting client and family preferences.
✦ 台美臨床差異
美國安寧護理極重視疼痛控制；台灣受限於健保與文化，對嗎啡使用常有較高的顧慮與限制。