— 基本照護與舒適 · MEDIUM · MCQ —
為了維持長期臥床病人的皮膚完整性,護理師應採取何種行動?
Which action should the nurse take to maintain skin integrity in a bedridden client?
- AUse hot water for daily baths使用熱水進行每日沐浴
- BAvoid the use of barrier creams避免使用屏障保護霜
- CChange linens immediately when soiled✓ 正解床單弄髒時立即更換
- DIncrease intake of simple sugars增加簡單糖分的攝取
— Explanation · 中文詳解 —
保持皮膚乾燥與清潔是預防壓瘡的基礎。受潮的床單(尿液或汗水)會導致皮膚浸潤,必須立刻更換(C)。隔離霜(Barrier creams)能保護皮膚不受刺激(B錯誤),熱水(A)會過度乾燥,糖分(D)對皮膚完整性無直接幫助。
To maintain skin integrity in bedridden clients, linens must be changed immediately when soiled to prevent moisture-associated skin breakdown. Keeping the skin clean and dry is essential, whereas hot water causes dryness and barrier creams are protective rather than harmful.
✦ 台美臨床差異
無明顯差異,皆強調預防潮濕與維持皮膚屏障。