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生理適應 · MEDIUM · MCQ

病人安排進行腰椎穿刺(Lumbar puncture)。哪項護理措施是正確的?

A patient is scheduled for a lumbar puncture. Which nursing action is correct?

  • AEncourage the client to move freely during the procedure
    鼓勵病人在手術過程中自由活動
  • BRequire the client to be NPO for 12 hours
    要求病人禁食12小時
  • CPlace the client in a lateral recumbent position✓ 正解
    將病人置於側臥位
  • DEnsure the client remains prone after the procedure
    確保病人在術後保持俯臥位
Explanation · 中文詳解

腰椎穿刺(Lumbar puncture)是獲取腦脊髓液的檢查。正確的體位是「側臥捲曲位」(Lateral recumbent, knees to chest),此姿勢能最大程度擴張腰椎間隙,方便穿刺。術後為了預防低腦脊髓液壓力引發的頭痛,通常建議平躺。過程中病人必須維持不動,以免誤傷脊髓神經。此檢查不需要禁食。

A lumbar puncture is a procedure used to obtain cerebrospinal fluid. The correct position is the lateral recumbent position with the knees drawn to the chest, which maximizes the spaces between the lumbar vertebrae and facilitates the puncture. After the procedure, the patient is typically kept supine to prevent post-dural-puncture headache from low CSF pressure. The patient must remain still throughout the procedure to avoid inadvertent injury to the spinal nerves. NPO status is not required for this procedure.

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