— 降低風險 · EASY · MCQ —
護理師照護一位剛完成全髖關節置換術的病人，哪種擺位是護理師應維持的最高優先順序？
A nurse is caring for a client who has just undergone a total hip arthroplasty. Which position is the highest priority for the nurse to maintain for the client?
- AFlexion of the hip past 90 degrees髖關節屈曲超過 90 度
- BAdduction using a pillow使用枕頭進行內收
- CAbduction using a wedge pillow✓ 正解使用楔形枕進行外展
- DInternal rotation of the affected limb患肢內旋
— Explanation · 中文詳解 —
全髖關節置換術後預防脫位是核心護理目標。髖關節應維持外展（Abduction）姿勢，透過三角形枕頭（wedge pillow）支撐，防止雙腿交叉導致假體脫位。其他選項皆會增加脫位風險，屬於必須嚴格禁止的動作。
Preventing dislocation after a total hip arthroplasty is a core nursing goal. The hip should be maintained in abduction, supported with a wedge pillow, to prevent the legs from crossing and dislocating the prosthesis. The other options all increase the risk of dislocation and are strictly forbidden movements that must be avoided.
✦ 台美臨床差異
美台臨床皆一致，但台灣復健科護理師對於術後輔具（如特殊坐墊）的教育較依賴醫囑。