— 基本照護與舒適 · MEDIUM · SATA —
護理師準備協助病人進行個人清潔護理。執行床上擦澡時應遵循哪些原則？（選所有適合的）
A nurse is preparing to assist a client with personal hygiene. Which principles should the nurse follow during bed baths? (Select all that apply.)
- AWash from the cleanest area to the dirtiest area✓ 正解由最清潔區域向最髒污區域清洗
- BProvide privacy by exposing only the body part being cleaned✓ 正解僅暴露正在清潔的身體部位以維護隱私
- CMaintain water temperature between 110°F and 115°F✓ 正解維持水溫在 110°F 至 115°F 之間
- DApply powder liberally to the skin folds to prevent moisture在皮膚摺皺處大量塗抹爽身粉以防止潮濕
- EUse long, firm strokes on the legs to promote venous return✓ 正解以長程有力的 strokes 擦拭腿部以促進靜脈回流
— Explanation · 中文詳解 —
床上擦澡需遵循護理常規：由乾淨處往髒處擦拭（由臉到四肢再到會陰部），以避免污染。水溫維持在 43-46°C（110-115°F）能確保舒適並防止燙傷。隱私維護應採取分區暴露，僅裸露擦拭部位。促進回流應由遠心端向近心端（向心方向）進行。爽身粉使用已不再推薦，因粉末易吸入肺部或造成毛孔阻塞，甚至增加細菌繁殖風險。
During a bed bath, wash from the cleanest to the dirtiest areas to prevent cross-contamination and maintain privacy by exposing only the area being cleaned. Use water temperatures between 110°F and 115°F to prevent burns, and use long, firm strokes on the legs to promote venous return; avoid liberal powder application due to infection risks.