# 一位個案正準備接受腹部手術。切口部位的毛髮會干擾手術進行。護理師應採取哪項措施？

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> url: https://mymerci.kr/pages/nclex_q.php?qn_id=498857&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: SIPC

## 題目

一位個案正準備接受腹部手術。切口部位的毛髮會干擾手術進行。護理師應採取哪項措施？

## 選項

1. 手術前一晚用剃刀剃除該區域毛髮
2. 在未檢查皮膚敏感度的情況下，於該區域塗抹脫毛膏
3. 移除大範圍的毛髮，以便術後更換敷料
4. 根據政策，在手術時間接近時，僅剪除必要的毛髮 **✔ 正確答案**

**正確答案: 4**

## 解析

當毛髮干擾手術時才需移除，且剪毛優於剃毛，因為剃刀會造成微小皮膚損傷，增加感染風險。移除範圍應侷限，並在手術時間接近時進行。

## 深入解析

快速解答
在手術時間接近時剪除干擾的毛髮，並將移除範圍限制在所需區域。

為什麼這是正確的
微小的剃刀傷口可能成為微生物的入口，增加手術部位感染風險。電剪可避免緊貼皮膚的刮除，而限制範圍及接近手術時間移除，可減少不必要的皮膚破壞及污染時間。

簡單比喻或心智圖像
剪毛就像修剪土壤上方的草，而不是刮除土壤表面。此比喻描述減少的皮膚創傷，但無法取代機構的皮膚準備及設備程序。

記憶掛鉤
若毛髮會干擾：剪除、限制範圍，並在手術時間接近時進行。

NCLEX 決策規則
不要為了方便而移除手術部位毛髮。當必須移除時，應使用能減少皮膚損傷的方法及時機，並遵循感染預防政策。

為什麼其他選項是錯的
剃刀剃毛會造成微小擦傷。未經檢查的脫毛膏使用可能傷害皮膚，而移除大範圍毛髮會增加不必要的創傷，卻無助於感染預防。參考文獻

- [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing

- [2]CDC Guideline for Prevention of Surgical Site InfectionU.S. Centers for Disease Control and Prevention

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