100%的作答者答錯這題挑戰 ›

護理師審閱一份住院個案的睡眠計畫。哪些措施需要追蹤處理？請標示出會造成可避免的恢復性睡眠障礙的措施。

Highlight in Table

選擇作答後，查看答案。

Care-plan area照護計畫領域	Observed care entry觀察到的照護紀錄
Assessment評估	Asks which sounds, symptoms, and usual routines affect the client’s sleep詢問哪些聲音、症狀及常規作息會影響個案的睡眠
Care coordination照護協調	Clusters compatible assessments and supplies before the preferred sleep period在個案偏好的睡眠時段前，集中進行相容的評估與用物準備
Scheduling時間安排	Wakes the stable client in the early morning for a nonurgent weight that can wait在清晨喚醒狀況穩定的個案，測量非緊急且可延後的體重
Environment環境	Leaves the overhead lights and television on after the client settles在個案入睡後，仍讓頭頂燈光和電視持續開啟
Noise control噪音控制	Offers earplugs after confirming that communication and alarms remain safe在確認溝通及警報安全無虞後，提供耳塞
Comfort舒適	Addresses pain, positioning, and toileting needs before the quiet period在安靜時段前，處理疼痛、擺位及如廁需求
Safety安全	Keeps the prescribed fall alarm active while reducing other room noise維持醫囑的跌倒警報，同時降低其他房間噪音
Beverage飲料	Offers caffeinated coffee at 2100 when the client reports difficulty sleeping在2100提供含咖啡因的咖啡，而個案表示難以入睡
Medication review藥物檢視	Checks whether nonurgent medication timing can be safely consolidated檢查非緊急的給藥時間是否能安全地合併

查看答案

相同主題的下一題A nurse is caring for a 75-year-old client with limited mobility and urinary incontinence …本題收錄於此題庫[전통+신유형] NCLEX LEVEL UP 패키지KRW 79,000

僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。