— 生理適應 · MEDIUM · SATA —
下列哪些護理措施適合有深層靜脈栓塞（DVT）病史的病人？（選所有適合的）
Which of the following interventions are appropriate for a client with a history of deep vein thrombosis (DVT)? (Select all that apply.)
- AApply warm compresses to the affected area✓ 正解在患部應用熱敷
- BEncourage early ambulation as prescribed✓ 正解依醫囑鼓勵早期下床活動
- CMassage the calf to relieve pain按摩小腿以緩解疼痛
- DElevate the affected limb✓ 正解抬高患肢
- EApply compression stockings✓ 正解穿戴彈性襪
— Explanation · 中文詳解 —
DVT 護理重點為預防血栓剝落。熱敷（A）可減輕疼痛與促進循環，抬高患肢（D）減輕水腫，穿著彈性襪（E）促進靜脈回流。鼓勵早期活動（B）需依醫囑。絕對禁止按摩（C），因按摩可能導致已形成的血栓剝離，引發肺栓塞（PE）。
DVT nursing focuses on preventing thrombus dislodgement. Warm compresses (A) can reduce pain and promote circulation; elevating the affected limb (D) reduces edema; wearing compression stockings (E) promotes venous return. Encouraging early ambulation (B) is done as prescribed. Massage (C) is strictly forbidden, as it may dislodge an existing thrombus and cause pulmonary embolism (PE).
✦ 台美臨床差異
無明顯差異，皆強調教育病人禁按摩與 PE 之危險徵兆。