# 一位幼兒的家長詢問如何在老舊房屋中減少鉛暴露。護理師應包含哪項指導？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397344&lang=zh-tw  
> language: zh-TW  
> subject: Health Promotion/Disease Prevention  
> category: HPM

## 題目

一位幼兒的家長詢問如何在老舊房屋中減少鉛暴露。護理師應包含哪項指導？

## 選項

1. 在孩子醒來前，用乾磨方式處理剝落的油漆。
2. 讓孩子在窗台附近玩耍以建立免疫力。
3. 使用熱自來水沖泡配方奶，因為熱水能溶解礦物質。
4. 濕式清潔灰塵，並安排專業人員評估剝落的油漆。 **✔ 正確答案**

**正確答案: 4**

## 解析

鉛暴露可能來自舊油漆粉塵和受污染的表面。濕式清潔灰塵並安排適當的評估或整治可減少暴露。乾磨會散布粉塵，窗台可能積聚受污染的油漆粉塵，而使用熱自來水可能增加金屬溶出。

## 深入解析

臨床判斷
利用客戶的線索、時機、檢驗數據及安全風險，選擇最符合幼兒鉛暴露預防的處置。

記憶提示
將最強的線索群與最安全的護理判斷配對。

KR vs US
NCLEX考題獎勵基於線索的優先思考，而非單獨的記憶。

## 臨床情境

臨床實務指引
針對幼兒鉛暴露預防，將完整的線索模式與客戶當前的穩定性、醫囑數據及預期的護理範圍進行比較。

注意
當完整情境改變了優先順序或安全性時，切勿僅根據單一線索選擇行動。

## 重要概念

- **鉛暴露** — 接觸鉛，可能損害神經發育，尤其是兒童。
- **濕式清潔** — 一種減少粉塵散佈的清潔方法。
- **剝落的油漆** — 老舊房屋中常見的鉛粉塵來源。

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