— 基本照護與舒適 · EASY · MCQ —
一位病人因夜尿導致睡眠障礙，護理師應建議哪項措施？
A client is experiencing sleep disturbances due to nocturia. Which action should the nurse recommend?
- ARestrict fluid intake after the evening meal✓ 正解限制晚餐後的液體攝取
- BSleep with the head of the bed flat平躺睡覺
- CTake a diuretic medication at bedtime睡前服用利尿劑
- DIncrease intake of caffeine in the evening增加晚上的咖啡因攝取
— Explanation · 中文詳解 —
夜尿（nocturia）會嚴重影響病人的睡眠品質與生活機能。護理指導應著重於病理生理因素的調整，限制水分攝取是減輕膀胱負荷的直接方法。護理師需評估病人夜尿頻率、攝取液體性質及時間，並與醫師確認是否有藥物影響（如利尿劑服用時間）。改善睡眠環境及排空膀胱也是輔助措施，但限制晚間飲水是臨床上解決此問題最優先的衛教重點。
Restricting fluid intake after the evening meal is the most effective nursing recommendation to reduce nocturia and improve sleep quality. Limiting evening fluids decreases bladder volume during sleep, directly addressing the physiological cause of nighttime urination. Conversely, increasing caffeine or taking diuretics at night would exacerbate the problem.