— 生理適應 · MEDIUM · SATA —
病患植入永久性心律調節器即將出院，哪些衛教內容是必要的？（選所有適合的）
Which instructions are essential for a client being discharged with a permanent pacemaker? (Select all that apply.)
- AKeep the incision site clean and dry✓ 正解保持切口部位清潔乾燥
- BAvoid heavy lifting with the affected arm✓ 正解避免用患側手臂提重物
- CCarry an identification card at all times✓ 正解隨時攜帶識別卡
- DAvoid all electronic devices避免使用所有電子設備
- ECheck pulse daily✓ 正解每日檢查脈搏
— Explanation · 中文詳解 —
心律調節器植入後的照護：A 避免傷口感染；B 限制患側手臂活動以防電極線移位；C 急診時供醫師辨識；E 確保儀器運作正常。D 選項錯誤，電子設備通常不干擾調節器，僅需遠離強磁場（如 MRI），不需避免所有電子設備。
Care after pacemaker implantation: A prevents wound infection; B restricts activity of the affected-side arm to prevent lead displacement; C allows physicians to identify the device in emergencies; E ensures proper device function. Option D is incorrect because electronic devices generally do not interfere with pacemakers; only strong magnetic fields (such as MRI) must be avoided, and it is not necessary to avoid all electronic devices.
✦ 台美臨床差異
美台對心律調節器出院指導內容大致相同，皆重視日常生活中的動作安全。