— 生理適應 · MEDIUM · MCQ —
肝切片檢查後,下列哪項姿勢是最正確的?
Which of the following describes the correct positioning for a client following a liver biopsy?
- AHigh-Fowler’s position高福氏氏臥位
- BSupine仰臥
- COn the right side✓ 正解右側臥
- DOn the left side左側臥
— Explanation · 中文詳解 —
肝切片(Liver biopsy)後的護理重點在於預防出血,因肝臟血管豐富且凝血功能可能受損。肝臟位於右上腹,採取「右側臥」位可以利用肝臟本身的重量,對穿刺點進行自然的物理性壓迫,從而達到止血效果。此姿勢通常需維持 2 至 4 小時,護理師應同時監測個案的生命徵象,特別是血壓與脈搏,以偵測是否有內出血徵象。
Post-liver biopsy care focuses on preventing bleeding because the liver is highly vascular and coagulation may be impaired. The liver lies in the right upper quadrant, so right side-lying positioning uses the liver's own weight to provide natural mechanical compression of the puncture site, achieving hemostasis. This position is typically maintained for 2-4 hours; the nurse should also monitor vital signs—especially BP and pulse—to detect internal bleeding.