— 基本照護與舒適 · HARD · MCQ —
病人要求洗澡，但其生命徵象不穩定。護理師應如何處理？
A client requests a bath, but their vitals are unstable. What should the nurse do?
- AAsk a family member to supervise the bath請家屬監督洗澡
- BOffer to bathe the patient in bed提供在床上為病人洗澡的服務
- CAllow the patient to bathe quickly允許病人快速洗澡
- DDefer the bath until the patient is stable✓ 正解延遲洗澡直到病人情況穩定
— Explanation · 中文詳解 —
生命徵象不穩定（Unstable vital signs）代表病人正處於生理脆弱狀態，任何額外的活動都可能導致生理負荷過重，引發心律不整、暈厥或血壓驟降。洗澡屬於需要消耗氧氣與體力的代謝活動，對於生命徵象不穩的病人而言，安全性（Safety）絕對高於個人衛生（Hygiene）。護理師應優先確保病人的生理穩定，將擦澡或其他清潔工作延後，直到醫師評估病況已穩定為止。
Bathing requires physical exertion and increases metabolic demand, which poses a safety risk to clients with unstable vital signs. The nurse should prioritize physiological stability over hygiene and defer the bath until the client’s condition is stabilized.