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照護管理 · MEDIUM · SATA

護理師準備協助一位全膝關節置換術後病人出院。下列哪些護理措施對安全照護至關重要?(選所有適合的)

The nurse is preparing to discharge a client after a total knee replacement. Which nursing actions are essential for safe care? (Select all that apply.)

  • AVerify the client's ability to demonstrate safe transfer techniques✓ 正解
    確認病人能否示範安全的轉移技巧
  • BProvide a list of symptoms that require immediate provider notification✓ 正解
    提供需要立即通知醫師的症狀清單
  • CEnsure the client has a follow-up appointment scheduled✓ 正解
    確保已安排病人回診追蹤
  • DAdminister pain medication to ensure the client is pain-free before leaving
    在病人離開前給予止痛藥以確保無痛
  • EConfirm the client understands the plan for physical therapy at home✓ 正解
    確認病人了解居家物理治療計畫
Explanation · 中文詳解

出院準備服務的核心在於確保病人具備自我照護能力與後續銜接。A(動作安全預防跌倒)、B(警示徵兆避免術後併發症)、C(醫療銜接)、E(復健持續性)均正確。D 錯誤:術後病人要求完全「無痛」是不切實際且危險的,應教導如何按醫囑服用止痛藥控制不適,而非追求零疼痛。

The core of discharge planning services is ensuring that the client has the self-care capability and continuity of follow-up care. A (mobility safety and fall prevention), B (warning signs to prevent postoperative complications), C (medical follow-up linkage), and E (continuation of rehabilitation) are all correct. D is incorrect: expecting postoperative clients to be completely 'pain-free' is unrealistic and dangerous; clients should be taught to take analgesics as prescribed to control discomfort rather than seeking zero pain.

✦ 台美臨床差異

美國採用 multidisciplinary discharge planning 會議;台灣多由病房護理師負責出院衛教,物理治療師介入時間點與銜接機制略有不同。

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