護理師對疑似深部靜脈栓塞（DVT）的病人進行身體評估。哪項動作是護理師應避免的？
A nurse is performing a physical assessment on a client with a suspected DVT. Which action should the nurse avoid?
- AObserving for unilateral edema觀察單側水腫
- BMassaging the affected limb✓ 正解按摩患肢
- CChecking for pedal pulses檢查足背動脈搏動
- DAssessing skin temperature評估皮膚溫度
深部靜脈栓塞（DVT）的評估核心在於確認血流受阻狀況，同時嚴格遵守「避免機械性刺激」的原則。一旦發生 DVT，血管內壁的血栓極不穩定，任何物理性按摩或過度壓迫都可能導致血栓剝離，隨著靜脈回流進入右心，最終阻塞肺動脈造成致命的肺栓塞（PE）。護理師在評估時應採取視診與非侵入性觸診，禁止按摩患肢，並採取抬高患肢、給予抗凝血劑等措施來穩定血栓。
The core of assessing suspected DVT is to confirm impaired blood flow while strictly observing the principle of avoiding mechanical stimulation. Once DVT has developed, the thrombus within the vessel wall is highly unstable, and any physical massage or excessive compression can cause the thrombus to dislodge, travel through venous return into the right heart, and ultimately occlude the pulmonary artery, resulting in fatal pulmonary embolism (PE). The nurse should perform inspection and non-invasive palpation, must not massage the affected limb, and should elevate the limb and administer anticoagulants as ordered to stabilize the thrombus.