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基本照護與舒適 · HARD · MCQ

病人主訴疼痛指數 8/10,下列哪項非藥物護理措施最適合優先採取?

A client complains of pain rated 8/10. Which non-pharmacological nursing intervention is most appropriate to prioritize?

  • AReposition the client to a comfortable position✓ 正解
    將病人重新安置於舒適姿勢
  • BPerform guided imagery
    進行引導式想像
  • CEncourage the client to listen to music
    鼓勵病人聆聽音樂
  • DApply a warm compress if no contraindication
    若無禁忌症,施加熱敷
Explanation · 中文詳解

面對急性劇烈疼痛(8/10),最直接的物理緩解方式是調整姿勢(Repositioning),以減少受壓點或肌肉拉扯。其他選項(音樂、冥想、熱敷)效果較慢且屬輔助性質,優先處理物理不適能最快減輕急性痛苦。

Repositioning the client is the most appropriate initial non-pharmacological intervention because it provides immediate physical relief by reducing pressure or muscle strain. Other techniques like guided imagery or music require more time and cognitive focus, making them less suitable for acute, severe pain.

✦ 台美臨床差異

美國護理常規強調非藥物介入優先於止痛藥(除非疼痛極度無法耐受),與台灣臨床強調藥物給藥時效略有不同。

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