護理師正為剛打上周邊靜脈點滴的病人進行床上沐浴。應如何處理病人的病衣？
A nurse is performing a bed bath for a client with a newly applied peripheral IV. How should the nurse proceed with the client's gown?
- ACut the gown sleeve to avoid disturbing the IV剪開病衣袖子以避免干擾靜脈輸液
- BRemove the gown from the affected arm first先從患側手臂脫下病衣
- CRemove the gown from the unaffected arm first✓ 正解先從健側手臂脫下病衣
- DDisconnect the IV tubing temporarily to remove the gown暫時斷開靜脈輸液管路以脫下病衣
為剛打上周邊靜脈點滴（peripheral IV）的病人進行床上沐浴時，處理病衣需要特別小心，以避免拉扯或移位點滴管路，確保點滴通路維持暢通。核心原則是「穿健側，脫患側」。這表示在脫衣時，應先從沒有點滴的健側手臂開始脫，然後再小心地將病衣滑過有 IV 的患側手臂。這樣可以減少對 IV 點滴部位的牽拉和壓力，降低點滴脫落或滲漏的風險。 臨床思路方面，護理師應將病人的舒適度與醫療管路的完整性同時納入考量。在執行護理操作時，始終保持輕柔，並觀察 IV 點滴部位是否有紅腫、疼痛或滲漏的跡象。
When performing a bed bath for a client with a newly inserted peripheral IV, the nurse must handle the gown carefully to avoid pulling or dislodging the IV line. The core principle is 'dress affected side first, undress unaffected side first.' When undressing, start with the arm without the IV (unaffected side) and then carefully slide the gown over the arm with the IV (affected side). This minimizes traction on the IV site and reduces the risk of dislodgement or infiltration. Clinically, the nurse should keep the patient's comfort and line integrity in mind simultaneously, perform movements gently, and assess the IV site for redness, pain, or leakage.
美國多使用一次性洗澡巾 (Pre-moistened wipes)；台灣臨床仍多使用臉盆與毛巾。