— 基本照護與舒適 · EASY · MCQ —
一位體溫 102.2°F (39°C) 的病人，下列哪項護理措施對於發燒的處理最為適宜？
A client has a temperature of 102.2°F (39°C). Which nursing intervention is most appropriate for a client experiencing a fever?
- AIncrease oral fluid intake✓ 正解增加口服液體攝取
- BApply heavy blankets to induce shivering蓋上厚毯子以誘發寒顫
- CAdminister an ice-water bath施行冰水浴
- DAdminister antibiotics immediately立即施用抗生素
— Explanation · 中文詳解 —
發燒時，身體代謝率增加，體溫每上升 1°C，基礎代謝率約增加 10-12%，同時水分會透過呼吸及皮膚蒸發顯著流失。護理核心在於維持水分平衡與促進散熱。補充液體是首要且最安全的介入，能預防脫水並協助體溫調節。冰水浴與厚重棉被皆為錯誤處理方式，會導致身體啟動防禦機制（如寒顫），反而使核心體溫進一步升高。抗生素需根據醫囑及感染源判斷，非發燒當下的首要護理措施。
Fever increases the basal metabolic rate and leads to significant fluid loss through respiration and diaphoresis. Increasing oral fluid intake is the primary and safest nursing intervention to prevent dehydration and support thermoregulation. Interventions like ice-water baths or heavy blankets can induce shivering, which paradoxically raises core body temperature.