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生理適應 · EASY · MCQ

一位接受髖關節置換術後第一天的病人,護理師採取哪項措施以預防深部靜脈栓塞(DVT)?

A nurse is caring for a client who is post-op day 1 from a total hip arthroplasty. Which action is essential for preventing deep vein thrombosis (DVT)?

  • AKeep the hip flexed at 90 degrees
    保持髖關節屈曲 90 度
  • BMaintain bed rest for 48 hours
    維持臥床休息 48 小時
  • CApply elastic compression stockings and encourage leg exercises✓ 正解
    穿戴彈性壓力襪並鼓勵腿部運動
  • DPerform passive range of motion on the surgical limb
    對手術肢體進行被動關節活動度訓練
Explanation · 中文詳解

髖關節置換術後,預防深部靜脈栓塞(DVT)是術後照護的關鍵。術後病人因活動減少及手術創傷,血液易淤積於下肢,增加栓塞風險。彈性襪(Compression stockings)能促進靜脈血液回流;踝關節幫浦運動(Ankle pumps)利用肌肉收縮擠壓靜脈,亦能有效預防血栓形成。術後應鼓勵病人儘早進行適度活動。

Following hip arthroplasty, preventing deep vein thrombosis (DVT) is a key element of postoperative care. Because of reduced mobility and surgical trauma, blood pools in the lower extremities, increasing the risk of thrombus formation. Compression stockings promote venous return; ankle pump exercises use muscular contractions to compress the veins, also effectively preventing thrombus formation. Postoperatively, the client should be encouraged to engage in appropriate activity as early as possible.

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