— 降低風險 · EASY · MCQ —
護理師照護一位剛接受全髖關節置換術的病人。術後即刻優先維持哪種體位？
A nurse is caring for a client who has just undergone a total hip arthroplasty. Which position is the highest priority to maintain in the immediate postoperative period?
- AInternal rotation of the affected hip患側髖關節內旋
- BAbduction of the affected hip✓ 正解患側髖關節外展
- CFlexion of the hip greater than 90 degrees髖關節屈曲超過 90 度
- DAdduction of the affected hip患側髖關節內收
— Explanation · 中文詳解 —
全髖關節置換術（Total Hip Arthroplasty, THA）術後，預防人工關節脫位是首要護理目標。髖關節在內收、內旋及屈曲大於 90 度時最不穩定。護理師應確保患肢維持外展（Abduction）姿勢，通常使用外展枕（Abduction pillow）來保持雙腿分開，並協助病人執行正確的轉位技術。
After a Total Hip Arthroplasty (THA), preventing prosthetic dislocation is the priority nursing goal. The hip joint is most unstable in adduction, internal rotation, and flexion greater than 90 degrees. The nurse should ensure the operative limb is maintained in abduction, typically using an abduction pillow to keep the legs apart, and should assist the client in using correct transfer techniques.