護理師評估一位疑似患有左小腿深層靜脈栓塞（DVT）的病人，應避免採取下列哪項行動以預防併發症？
A nurse is assessing a client with a suspected deep vein thrombosis (DVT) in the left calf. Which action should the nurse avoid to prevent potential complications?
- AMassage the affected lower extremity✓ 正解按摩患側下肢
- BElevate the left leg抬高左腿
- CCompare temperature between both legs比較雙側腿部的溫度
- DAssess the capillary refill time評估毛細血管再充盈時間
深層靜脈栓塞的護理關鍵在於預防血栓脫落形成肺栓塞。按摩患肢會增加血栓剝離的風險，因此是絕對禁忌症。正確的護理方向是臥床休息、保護患肢、評估循環狀況，並確保藥物治療正確執行，避免任何可能導致栓子移動的動作。
The key to nursing care of deep vein thrombosis is preventing the thrombus from dislodging and forming a pulmonary embolism. Massaging the affected limb increases the risk of thrombus dislodgement and is therefore absolutely contraindicated. Appropriate nursing direction is bed rest, protection of the affected limb, assessment of circulation, and ensuring proper administration of pharmacologic therapy, while avoiding any maneuver that could cause the embolus to migrate.
美台臨床皆嚴禁按摩 DVT 患肢，差異在於美國護理師常依據超音波結果執行 Protocol，台灣則多由醫師診斷後開立抗凝血劑醫囑。