— 基本照護與舒適 · EASY · MCQ —
護理師協助病人使用便盆。哪項動作是錯誤的？
A nurse is assisting a client with bedpan usage. Which action is incorrect?
- AProviding privacy for the client為病人提供隱私
- BEnsuring the call light is within reach確保呼叫鈴在可觸及範圍內
- CPulling the client's skin across the bedpan edges✓ 正解將病人的皮膚沿著便盆邊緣拉扯
- DPositioning the client in a semi-Fowler's position將病人置於半坐臥姿勢
— Explanation · 中文詳解 —
協助病人使用便盆（Bedpan）時，護理師必須考量病人的皮膚完整性與舒適度。剪力（Shearing force）是造成壓力性損傷（Pressure injury）的主要機制之一。當病人皮膚在便盆邊緣摩擦時，表皮與真皮層會產生水平位移，極易損傷皮膚。正確做法是利用移動輔助設備或請病人抬高臀部（Bridge the hips）來放置便盆，而非讓病人直接在便盆上拖動。
Dragging the client's skin across the bedpan edges is incorrect because it creates shear forces that can lead to skin breakdown and pressure injuries. Proper technique involves using assistive devices or having the client bridge their hips to place the bedpan without friction.