— 照護管理 · MEDIUM · MCQ —
護理長觀察新進護理師進行換藥程序。哪項動作需要護理長介入？
A charge nurse observes a newly licensed nurse performing a dressing change. Which action by the new nurse requires intervention?
- ACleaning the wound from the center outward in circular motion以圓形運動由傷口中心向外清潔
- BDonning clean gloves to remove the old dressing戴上乾淨手套移除舊敷料
- CUsing sterile technique for a clean surgical wound對清潔手術傷口使用無菌技術
- DApplying an alcohol-based cleanser directly into the open wound✓ 正解將含酒精清潔劑直接塗抹於開放性傷口
— Explanation · 中文詳解 —
酒精具有細胞毒性，會破壞傷口肉芽組織並延緩癒合。清潔開放性傷口（Open wound）應使用生理食鹽水，溫和地清除異物與滲出液。護理師在觀察換藥程序時，若發現新進人員使用酒精清潔開放性傷口，必須立即介入糾正，並解釋其對組織修復的負面影響。其他選項如使用乾淨手套移除舊敷料、維持無菌技術與清潔順序（中心向外），皆為正確的護理行為。
Alcohol is cytotoxic and damages granulation tissue, which delays wound healing and should never be applied to open wounds. Cleaning should instead be performed with sterile saline to gently remove debris without harming healthy tissue. The nurse must intervene immediately to correct this unsafe practice and educate the new nurse on proper wound care principles.