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生理適應 · MEDIUM · MCQ

病人預定進行心導管檢查,術後需執行哪項護理動作?

A client is scheduled for a cardiac catheterization. Which nursing action is required after the procedure?

  • AEncourage immediate ambulation
    鼓勵立即下床活動
  • BApply a cold pack to the puncture site
    在穿刺部位敷冰
  • CFlex the knee joint of the affected leg
    屈曲患側腿的膝關節
  • DKeep the affected leg straight✓ 正解
    保持患側腿伸直
Explanation · 中文詳解

心導管檢查(Cardiac catheterization)多由股動脈(Femoral artery)穿刺進行。術後穿刺部位的止血至關重要。病人必須在規定時間內保持患側肢體伸直,避免彎曲髖關節或膝關節,以防止血帶鬆脫或穿刺點再次出血及形成血腫。護理師需定期檢查穿刺部位有無滲血、腫脹,並評估遠端肢體的血液循環(脈搏、顏色、溫度)。

Cardiac catheterization is most often performed via femoral artery puncture. Hemostasis at the puncture site is critical postoperatively. The client must keep the affected extremity straight for the prescribed period, avoiding flexion of the hip or knee, to prevent loosening of the pressure dressing, rebleeding at the puncture site, or hematoma formation. The nurse should regularly inspect the puncture site for bleeding or swelling and assess distal limb circulation (pulse, color, temperature).

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