— 基本照護與舒適 · EASY · MCQ —
護理師為女性病人執行會陰部護理，下列何者正確？
A nurse is providing perineal care for a female client. Which action is correct?
- AUse warm water with harsh soap for thorough cleaning使用溫水與刺激性肥皂進行徹底清潔
- BCleanse from the anal area toward the urethra由肛門區域向尿道方向清潔
- CUse the same section of the washcloth for multiple strokes使用同一塊紗布的多個部位進行多次擦拭
- DCleanse from the pubic area toward the anal area✓ 正解由恥骨區域向肛門方向清潔
— Explanation · 中文詳解 —
女性會陰部護理的目標是預防泌尿道感染（UTI）。由於尿道口、陰道口與肛門鄰近，且肛門周圍含有大量大腸桿菌，清潔方向必須嚴格遵守「由前向後（由尿道向肛門）」的原則，以避免將細菌帶入尿道。清潔時應使用不同的毛巾區域或更換棉球，避免交叉污染。使用溫和、非刺激性的肥皂是為了維護會陰部黏膜的正常菌叢與pH值。
Perineal care for females should be performed from the pubic area toward the anal area to prevent introducing fecal bacteria into the urethra and reduce UTI risk. This directionality, along with using clean sections of the washcloth for each stroke, minimizes cross-contamination.