— 基本照護與舒適 · EASY · MCQ —
護理師協助高齡病人進行床上洗澡。下列哪項措施最能提升病人的安全與舒適感？
A nurse is preparing to assist an elderly client with a bed bath. Which action best promotes client safety and comfort during the procedure?
- AUse soap on all body surfaces to ensure cleanliness在所有皮膚表面使用肥皂以確保清潔
- BKeep the side rails down to facilitate access放下床欄以便操作
- CMaintain the room temperature at a comfortable level and keep the client covered✓ 正解維持房間溫度在舒適水平並覆蓋病人
- DComplete the bath as quickly as possible to avoid tiring the client盡快完成洗澡以避免病人疲勞
— Explanation · 中文詳解 —
高齡者體溫調節功能下降，洗澡時容易發生低體溫，保持室溫並適度遮蔽身體（隱私與保暖）是提供舒適照護的基本原則。側欄杆應保持在安全位置而非全放，使用過多肥皂會導致皮膚過度乾燥，且洗澡過程應平衡速度與病人的參與感。
Maintaining a comfortable room temperature and keeping the client covered prevents chilling and preserves dignity, which is vital for elderly clients with diminished thermoregulation. Excessive use of soap can dry out fragile geriatric skin, and leaving side rails down increases fall risk. Rushing the bath may cause fatigue, whereas a paced approach allows for client participation and comfort.
✦ 台美臨床差異
美國醫院強調個人隱私與自主權，台灣臨床常因人力負荷較重而追求速度。