— 降低風險 · EASY · MCQ —
護理師教導一位行動不便的病人如何預防皮膚破損。下列哪項病人陳述表示病人理解？
A nurse is educating a client about preventing skin breakdown in a client who is immobile. Which statement by the client indicates understanding?
- AI will eat a diet high in protein.我會攝取高蛋白飲食。
- BI will keep my skin clean and dry at all times.✓ 正解我會隨時保持皮膚清潔乾燥。
- CI will ask the nurse to turn me every 4 hours.我會請護理師每 4 小時幫我翻身。
- DI will use a pressure-relieving mattress if available.如果有條件，我會使用減壓床墊。
— Explanation · 中文詳解 —
預防壓瘡（pressure injuries）的核心在於減少壓力、摩擦力與剪力，並維持皮膚完整性。皮膚過度潮濕（moisture）會導致表皮浸漬（maceration），極大增加皮膚破損風險。保持皮膚清潔乾燥是護理的基本原則，能有效預防潮濕相關的皮膚損傷（MASD），因此病人若能主動維護皮膚衛生，顯示其具備良好的自我照護觀念。
Immediate disposal of the needle in a sharps container is the most critical action to prevent needlestick injuries, adhering to the 'no recapping' safety standard. Recapping needles, even with a one-handed technique, poses a significant risk of accidental puncture, whereas prompt disposal eliminates this hazard effectively.