— 照護管理 · MEDIUM · MCQ —
一位髖關節置換術後病人,下列哪項發現應立即告知醫師?
Which of the following findings in a client who is postoperative from a hip replacement surgery should the nurse report to the provider immediately?
- ASudden onset of dyspnea and tachycardia✓ 正解突發性呼吸困難與心跳過速
- BDifficulty turning in bed在床上翻身困難
- CReports of mild pain at the incision site主訴切口處輕微疼痛
- DSerosanguineous drainage on the dressing敷料上有漿液血性滲出物
— Explanation · 中文詳解 —
髖關節置換術(Hip replacement)術後病人需密切監測肺栓塞(Pulmonary Embolism, PE)的風險,因為手術過程與術後臥床易造成深部靜脈栓塞(DVT)。突發性呼吸困難(Dyspnea)與心跳過速(Tachycardia)是 PE 的經典表現,屬於危及生命的緊急狀況,必須立即處置。
Clients who have undergone hip replacement must be closely monitored for the risk of pulmonary embolism (PE), as the operative process and postoperative immobility predispose to deep vein thrombosis (DVT). Sudden onset of dyspnea and tachycardia is a classic presentation of PE and constitutes a life-threatening emergency requiring immediate intervention.