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藥理與非經腸給藥 · MEDIUM · SATA

護理師照護化療引發血小板減少症的病人。下列哪些護理措施是適當的?(選所有適合的)

A nurse is caring for a client receiving chemotherapy. Which interventions should the nurse include for a client with thrombocytopenia? (Select all that apply.)

  • AUse an electric razor for shaving✓ 正解
    使用電動刮鬍刀剃鬚
  • BAdminister aspirin for pain relief
    給予阿斯匹靈緩解疼痛
  • CUse a soft-bristled toothbrush✓ 正解
    使用軟毛牙刷
  • DAvoid activities that can cause injury✓ 正解
    避免可能導致受傷的活動
  • ECheck for signs of occult bleeding✓ 正解
    檢查是否有隱性出血跡象
Explanation · 中文詳解

血小板低下(血小板減少症)導致凝血異常,護理目標為「預防出血」。選項 B 錯誤:阿斯匹靈會抑制血小板凝集,禁忌使用。應鼓勵軟毛牙刷(避免牙齦出血)、電動刮鬍刀(防割傷)、預防碰撞活動,並監測皮膚瘀斑、血尿、黑便等隱性出血徵象。

Thrombocytopenia (low platelet count) causes abnormal coagulation, and the nursing goal is bleeding prevention. Option B is incorrect: aspirin inhibits platelet aggregation and is contraindicated. The nurse should encourage the use of a soft-bristled toothbrush (to avoid gingival bleeding), an electric razor (to prevent cuts), and avoidance of contact activities, and should monitor for ecchymoses, hematuria, melena, and other signs of occult bleeding.

✦ 台美臨床差異

兩地護理標準一致,台灣臨床常提醒病人禁食阿斯匹靈或含類阿斯匹靈成分的中藥。

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