— 照護管理 · HARD · MCQ —
針對第 3 期壓瘡病人，下列哪項護理介入最重要？
Which of the following interventions is most important for a patient with stage 3 pressure ulcer?
- AApplying a heat lamp to dry the wound使用熱燈使傷口乾燥。
- BCleansing the wound with antiseptic solution使用消毒劑清潔傷口。
- CMassaging the area around the ulcer按摩潰瘍周圍區域。
- DRepositioning every 2 hours✓ 正解每 2 小時重新擺位。
— Explanation · 中文詳解 —
壓瘡照護的核心在於減壓（Offloading）。每 2 小時翻身（D）能有效減少組織缺氧。A（ antiseptic 如優碘）可能損傷肉芽組織；C（熱燈）會導致組織脫水；D（按摩）會破壞脆弱的皮膚組織。
When a chest tube becomes disconnected, the immediate priority is to prevent air from entering the pleural space, which could cause a tension pneumothorax. Placing the distal end of the tube into sterile water creates a temporary water seal that allows air to escape but prevents atmospheric air from entering.
✦ 台美臨床差異
美國傷口護理（WOCN）有專業認證護理師；台灣現亦有造口與傷口治療師，但臨床資源配置仍以一般病房護理師為主。