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護理師為裝有永久性心律調節器的病人進行出院衛教。病人的哪些陳述代表需要進一步教學?(選所有適合的)

The nurse is providing discharge education for a client with a permanent pacemaker. Which statements by the client indicate a need for further teaching? (Select all that apply.)

  • AI should avoid standing near microwave ovens✓ 正解
    我應該避免站在微波爐附近
  • BI will take my pulse daily and report any significant changes
    我會每天測量脈搏,並回報任何顯著變化
  • CI can return to my job as an airport security screener immediately✓ 正解
    我可以立即恢復擔任機場安檢員的工作
  • DI must inform my dentist about the pacemaker
    我必須告知牙醫我植入了心律調節器
  • EI can safely have an MRI scan as long as it's quick✓ 正解
    只要檢查時間短,我可以安全地進行核磁共振造影 (MRI)
Explanation · 中文詳解

裝有永久性心律調節器(permanent pacemaker)的病人出院衛教是確保其長期安全和設備正常運作的關鍵。核心概念是教導病人如何避免可能干擾調節器功能的電磁場,以及如何監測調節器功能和何時尋求醫療協助。病人對這些資訊的理解程度直接影響其生活品質和設備的有效性。護理師應評估病人對衛教內容的理解,並針對誤解之處進行進一步澄清和指導,確保病人能夠安全地回歸日常生活。

Modern microwave ovens do not pose a significant risk to pacemakers, and MRI scans are generally contraindicated unless the device is specifically MRI-conditional, indicating a need for further teaching. Additionally, clients should avoid returning to jobs involving strong electromagnetic fields like airport security scanners without medical clearance.

✦ 台美臨床差異

美國 NCLEX 重視科技更新後的正確衛教;台灣實務上,醫院會提供病人一張識別卡,要求其隨身攜帶。

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