— 基本照護與舒適 · EASY · MCQ —
護理師照護一位表示難以入睡的病人。下列哪項護理介入最能促進休息?
A nurse is caring for a client who reports difficulty sleeping. Which nursing intervention is most appropriate to promote rest?
- AAdminister a prn sleep medication immediately立即給予處方備用安眠藥
- BMaintain a quiet and dimly lit environment✓ 正解維持安靜且光線昏暗的環境
- CPerform vital signs every two hours每兩小時測量生命徵象
- DEncourage the client to nap during the day鼓勵病人在白天小睡
— Explanation · 中文詳解 —
良好的休息與睡眠對住院病人的恢復至關重要。護理師應透過環境管理(Environment management)來促進休息,例如降低光源、控制噪音、保持環境安靜,這能有效減少感官刺激,幫助病人入睡。藥物治療僅在非藥物介入無效後才考慮,日間小睡會擾亂病人的生理時鐘,而頻繁的生命徵象測量則會中斷睡眠週期,應盡量調整為不干擾休息的頻率。
Environmental modifications, such as maintaining a quiet and dimly lit room, are the first-line, non-pharmacological interventions to promote sleep. Pharmacological options are secondary, while frequent assessments or daytime napping can disrupt the sleep-wake cycle.