— 照護管理 · MEDIUM · MCQ —
接受放射治療的病人，護理師衛教哪項重點最能預防皮膚破損？
A nurse is caring for a client who is being treated with radiation therapy. Which of the following is the most important teaching point to prevent skin breakdown?
- AWash the area with perfumed soap and hot water使用含香料的肥皂和熱水清洗該區域
- BExpose the treatment area to direct sunlight for vitamin D讓治療區域暴露於陽光下以攝取維生素D
- CApply adhesive tape over the radiation site to protect it在放射治療部位貼上膠帶以保護皮膚
- DAvoid removing the ink markings used for radiation targeting✓ 正解避免移除用於放射定位的墨水標記
— Explanation · 中文詳解 —
放射線治療的皮膚護理核心是「保護照射野完整性」。標記墨水用於定位照射範圍，若擅自擦除將影響治療準確度。其他選項（香皂、熱水、陽光曝曬、膠帶黏貼）皆會刺激或導致放射性皮膚炎惡化，屬於嚴格禁止的照護行為。
The most critical teaching point is to avoid removing the ink markings, as they are essential for precise radiation targeting and ensuring the correct area is treated. Other options, such as using perfumed soaps, hot water, direct sunlight, or adhesive tape, can irritate the sensitive irradiated skin and worsen radiation dermatitis.
✦ 台美臨床差異
美國放射腫瘤科有詳細書面手冊；台灣護理師多以口頭叮嚀，需加強衛教單張的發放與確認。