— 基本照護與舒適 · EASY · MCQ —
下列哪項護理措施適合用於提升發燒病人的舒適感？
Which of the following nursing interventions is appropriate to promote comfort for a client with a fever?
- AEncourage vigorous exercise to 'sweat it out'鼓勵劇烈運動以『出汗退燒』
- BKeep the room temperature very high保持室內溫度非常高
- CApply ice packs directly to the skin將冰袋直接敷在皮膚上
- DProvide a blanket if the client has chills✓ 正解如果病人有畏寒發抖，提供毯子保暖
— Explanation · 中文詳解 —
發燒病人常因體溫調節中樞的設定點改變而感到寒顫（Chills），此時給予毛毯保暖（D）可改善病人的舒適度，減少因寒顫引起的代謝產熱。冰袋直接接觸皮膚（C）會刺激冷感受器，引發更強烈的寒顫，反而使核心體溫升高。高室溫（B）會阻礙散熱，運動（A）會增加代謝產熱，均不建議。舒適護理應針對發燒階段採取適當措施，寒顫期保暖，退燒期則降溫。
During the chill phase of a fever, the body's thermoregulatory set point rises, causing the client to feel cold; providing a blanket helps maintain comfort and reduces metabolic heat production from shivering. Interventions such as vigorous exercise, high room temperatures, or direct ice packs are inappropriate as they either increase metabolic rate or trigger further shivering.