— 生理適應 · MEDIUM · SATA —
為預防下肢石膏病人併發症，護理師應採取哪些行動？（選所有適合的）
Which actions should the nurse take for a client with a new cast on the lower leg to prevent complications? (Select all that apply.)
- AAssess capillary refill✓ 正解評估毛細血管再充盈時間
- BCheck for peripheral pulses✓ 正解檢查周邊脈搏
- CElevate the limb on pillows✓ 正解將患肢以枕頭墊高
- DApply heat to the cast對石膏施加熱敷
- ECheck for sensation and movement✓ 正解檢查感覺與活動能力
— Explanation · 中文詳解 —
下肢石膏病人面臨腔室症候群（Compartment Syndrome）的風險。護理重點是神經血管評估（Neurovascular check），包含循環（Capillary refill）、感覺（Sensation）、活動力（Movement）與末梢脈搏（Pulses）。抬高患肢（Elevation）可利用重力減少組織水腫。
Patients with a lower-extremity cast are at risk for compartment syndrome. The nursing focus is neurovascular assessment, including circulation (capillary refill), sensation, movement, and distal pulses. Elevating the affected limb uses gravity to reduce tissue edema.