— 生理適應 · MEDIUM · MCQ —
一位病人因脛骨開放性骨折入院。護理師的優先護理措施為何？
A client presents with an open fracture of the tibia. What is the priority nursing action?
- AApply an ice pack to the site在患處應用冰敷包
- BAdminister pain medication給予止痛藥物
- CElevate the affected limb抬高患肢
- DCover the wound with a sterile dressing✓ 正解以無菌敷料覆蓋傷口
— Explanation · 中文詳解 —
開放性骨折（Open fracture）意指骨骼穿透皮膚，造成骨骼與外界環境直接接觸，這使得感染（Osteomyelitis）的風險大幅提升。首要護理措施是採取無菌技術，覆蓋受傷部位以防止進一步污染。此舉為保護病人的第一道防線，相較於止痛、抬高肢體或冷敷等症狀控制措施，預防感染是降低併發症的首要任務。
An open fracture exposes bone directly to the environment, sharply increasing infection (osteomyelitis) risk. The first nursing action is to cover the wound with sterile technique to prevent further contamination. This is the first line of protection and takes precedence over pain control, limb elevation, or ice application, which address symptoms but do not reduce the primary infection risk.