— 基本照護與舒適 · HARD · MCQ —
護理師教導病人在家執行自我導尿。下列哪項陳述顯示病人已理解？
A nurse is teaching a client how to perform self-catheterization at home. Which statement by the client indicates understanding?
- AI should limit my fluid intake to 1 liter per day.我應該將每日液體攝取量限制在 1 公升。
- BI must use sterile gloves every time I do this.我每次必須使用無菌手套。
- CI need to perform this procedure every 12 hours.我需要每 12 小時執行一次此程序。
- DI will clean the catheter with soap and water after each use.✓ 正解我會在使用後用肥皂和水清洗導尿管。
— Explanation · 中文詳解 —
在居家環境中，自我導尿通常採用「清潔技術（Clean technique）」而非無菌技術。病人可以使用肥皂和水清洗導尿管後重複使用（D）。應維持充足水分以預防感染（A 錯誤），且導尿頻率通常為每 4-6 小時一次，而非 12 小時，以避免膀胱過度膨脹。
For home self-catheterization, clients are taught to use clean technique rather than sterile technique, allowing them to reuse catheters if they are properly cleaned with soap and water. Adequate fluid intake is encouraged to prevent urinary tract infections, and catheterization should typically occur every 4 to 6 hours to avoid bladder distension.
✦ 台美臨床差異
美國保險制度鼓勵一次性使用導尿管，但清潔技術仍是教科書標準；台灣則多強調單次拋棄式以防感染。