— 降低風險 · MEDIUM · MCQ —
護理師照護一位全髖關節置換術後的病人，下列哪項行動可有效預防人工關節脫位？
A nurse is caring for a client who is post-operative following a total hip arthroplasty. Which action should the nurse take to prevent dislocation of the prosthesis?
- AEncourage the client to bend the hip more than 90 degrees鼓勵病人將髖關節彎曲超過 90 度
- BAssist the client to cross their legs while sitting協助病人坐著時交叉雙腿
- CPlace an abduction pillow between the client's legs✓ 正解在病人雙腿之間放置外展枕
- DHave the client lean forward when standing up讓病人在站起時身體前傾
— Explanation · 中文詳解 —
全髖關節置換術後，人工關節的穩定性極度依賴正確的姿勢維持。術後護理重點在於防止「脫位（Dislocation）」。必須嚴格避免患側髖關節彎曲超過 90 度、內收（Adduction）以及內轉（Internal rotation）。外展枕（Abduction pillow）能確保雙腿維持外展姿勢，有效預防人工關節脫出。
After total hip replacement, the stability of the prosthesis depends critically on maintaining correct positioning. The focus of postoperative nursing care is the prevention of dislocation. Flexion of the affected hip greater than 90 degrees, adduction, and internal rotation must be strictly avoided. An abduction pillow keeps the legs in abduction and effectively prevents dislocation of the prosthesis.