— 安全與感染控制 · EASY · MCQ —
護理師採取哪項措施可幫助預防臥床病人產生壓瘡？
Which action by the nurse helps prevent the development of pressure injuries in a bedridden client?
- AKeep the client's skin clean and dry✓ 正解保持病人皮膚清潔乾燥
- BMassage the reddened bony prominences按摩發紅的骨突處
- CReposition the client every 4 hours每 4 小時為病人翻身
- DUse a donut-shaped cushion for pressure relief使用甜甜圈形坐墊以減輕壓力
— Explanation · 中文詳解 —
預防壓瘡（Pressure Injury）的核心在於減壓與保護皮膚完整性。皮膚長時間接觸排泄物、汗水或分泌物會導致浸漬（Maceration），使表皮變得脆弱易損。保持皮膚清潔乾燥能減少摩擦力與刺激。翻身應至少每 2 小時一次（2-hour rule），因為組織缺血通常在 2 小時內就會發生損傷。按摩骨突處反而會導致皮下組織損傷，應絕對避免。
Maintaining clean and dry skin prevents maceration and tissue breakdown, which are key factors in pressure injury development. Nurses should reposition clients at least every two hours, avoid massaging reddened bony prominences to prevent further tissue damage, and refrain from using donut cushions as they can impair circulation.