— 基本照護與舒適 · EASY · MCQ —
護理師協助老年病人執行個人衛生。下列哪項措施最能促進病人皮膚完整性？
A nurse is assisting an elderly client with personal hygiene. Which action best promotes the client's skin integrity?
- AApply talcum powder to the skin folds after bathing沐浴後在皮膚摺皺處塗抹滑石粉
- BUse a moisturizing lotion after bathing while skin is damp✓ 正解沐浴後在皮膚微濕時塗抹保濕乳液
- CPerform vigorous towel drying to stimulate circulation用力擦拭以促進血液循環
- DCleanse the skin with hot water and antibacterial soap用熱水和抗菌肥皂清潔皮膚
— Explanation · 中文詳解 —
高齡者的皮膚生理結構隨老化發生顯著改變，包括表皮層變薄、皮脂腺分泌減少以及真皮層彈性纖維流失，導致皮膚屏障功能脆弱，極易因水分流失而乾燥、脫屑甚至產生裂隙。護理目標在於補水與鎖水。臨床上，在洗澡後皮膚尚帶有微濕狀態時塗抹保濕劑，能有效將水分封存於角質層中，是維持皮膚完整性的最佳實務。過度清潔或刺激性動作會破壞皮脂膜，增加皮膚受損風險。
Aging skin becomes thinner and produces less oil, increasing the risk of dryness and breakdown. Applying moisturizer to damp skin after bathing helps trap moisture in the stratum corneum, effectively maintaining skin integrity and hydration.