— 基本照護與舒適 · MEDIUM · SATA —
護理師為臥床病人進行床上沐浴，哪些措施能促進舒適與安全？（選所有適合的）
A nurse is performing a bed bath for a client on bed rest. Which actions are appropriate to promote comfort and safety? (Select all that apply.)
- AKeep the bed in the lowest position when finished✓ 正解完成後將床置於最低位置
- BKeep side rails up after completing the bath✓ 正解沐浴完成後拉起側欄
- CMaintain water temperature between 110°F and 115°F✓ 正解維持水溫在 110°F 至 115°F 之間
- DExpose the entire body to ensure thorough cleaning暴露全身以確保徹底清潔
- EApply lotion to keep skin hydrated✓ 正解塗抹乳液以保持皮膚水合
— Explanation · 中文詳解 —
床上沐浴（Bed bath）不僅是清潔過程，更是評估病人皮膚完整性與促進血液循環的黃金時間。護理師需遵循「安全優先」原則，透過維持適當水溫避免燙傷，並在清潔後將床位降至最低與拉起圍欄，以預防病人跌倒或墜床。此外，適度塗抹乳液可維持皮膚水潤，預防乾燥導致的破皮風險。在整個過程中，必須注意維護病人的隱私，避免不必要的暴露。
To ensure safety during a bed bath, maintain water temperatures between 110°F and 115°F to prevent burns and apply lotion to protect fragile skin. After the procedure, lower the bed to its lowest position and raise side rails to minimize fall risks. Avoid exposing the entire body to preserve patient dignity and prevent heat loss.
✦ 台美臨床差異
美國臨床對於床位高度（Lowest position）的執行非常嚴格，列入跌倒預防標準（Fall precautions）。台灣臨床較常使用電動床，護理師應養成隨手降床的習慣，這在 NCLEX 考試中是絕對的得分點。