— 降低風險 · EASY · MCQ —
護理師照護一名剛完成腰椎穿刺的病人。應將病人置於何種姿勢以降低術後併發症？
A nurse is caring for a client who just had a lumbar puncture. Which position should the nurse place the client in to reduce the risk of post-procedural complications?
- ASupine position✓ 正解仰臥姿勢
- BHigh-Fowler's position高福勒氏姿勢（半坐臥位）
- CProne position俯臥姿勢
- DLeft lateral recumbent position左側臥姿勢
— Explanation · 中文詳解 —
腰椎穿刺（Lumbar puncture）後，腦脊髓液（CSF）壓力可能因穿刺針孔導致滲漏，這是引發頭痛的主因。讓病人維持平躺姿勢（Supine）可減少 CSF 從硬脊膜穿刺處滲漏，透過重力維持顱內壓穩定。此措施旨在預防「脊髓後頭痛」（Post-dural puncture headache），通常需維持數小時。
After a lumbar puncture, CSF can leak from the puncture site, causing post-dural puncture headache. Keeping the client supine reduces CSF leak by minimizing gravitational pressure on the puncture site and helps stabilize intracranial pressure. This positioning is typically maintained for several hours to prevent post-LP headache.