— 基本照護與舒適 · HARD · MCQ —
護理師協助髖關節置換術後病人使用床邊馬桶。下列哪項行動是適當的？
A nurse is assisting a client with post-operative hip replacement to use a bedside commode. Which action is appropriate?
- APosition the commode so the client sits on the affected side調整便盆位置，讓病人坐在患側
- BInstruct the client to lean forward as much as possible指導病人盡量向前傾
- CPermit the client to place the non-operative leg on the floor允許病人將未手術側的腿放在地板上
- DEnsure the client does not flex the hip more than 90 degrees✓ 正解確保病人髖關節屈曲角度不超過 90 度
— Explanation · 中文詳解 —
全髖關節置換術後需嚴格執行髖關節防護措施（Hip Precautions），最重要的禁忌是髖關節屈曲角度不可大於 90 度，否則會導致關節脫位。使用床邊馬桶時應使用加高馬桶墊，防止坐下過深造成屈曲過度。
After total hip arthroplasty, strict hip precautions must be observed; the most important contraindication is hip flexion greater than 90 degrees, which can cause dislocation. When using a bedside commode, a raised toilet seat should be used to prevent excessive flexion when sitting down.
✦ 台美臨床差異
美台對於髖關節術後限制的衛教原則一致，均強調防脫位姿勢訓練。