— 健康促進與維護 · EASY · MCQ —
護理師建議採取哪項行動，最能預防臥床病人的壓瘡？
Which action is most appropriate for a nurse to recommend to prevent pressure ulcers in a bedridden client?
- AKeep the skin moist with frequent water application頻繁塗抹水分以保持皮膚濕潤
- BUse rubber rings to support the heels使用橡膠圈支撐腳跟
- CMassage the reddened areas vigorously用力按摩發紅區域
- DReposition the client at least every two hours✓ 正解至少每兩小時重新安置病人姿勢
— Explanation · 中文詳解 —
臥床病人壓瘡（Pressure ulcer）的形成主要是由於局部組織長期受壓，導致缺血、缺氧與壞死。預防的核心是「減壓」與「維持皮膚完整性」。每兩小時翻身一次能確保受壓部位獲得血流灌注，防止組織損傷。護理師應同時評估病人的營養狀況、皮膚濕度與摩擦力，並使用減壓輔具，但翻身仍是預防壓瘡的黃金標準（Gold standard）。
Repositioning the client at least every two hours is the gold standard for preventing pressure ulcers as it relieves sustained pressure and restores blood flow to tissues. Other actions like using rubber rings or massaging reddened areas can compromise circulation or worsen tissue damage.