護理師為疑似深部靜脈栓塞（DVT）的病人制定照護計畫，應包含哪些措施？（選所有適合的）
A nurse is planning care for a client with a suspected DVT. Which interventions should the nurse include? (Select all that apply.)
- AMaintain bed rest as prescribed✓ 正解遵照指示維持臥床休息
- BApply warm, moist compresses to the affected area在患處應用溫濕敷
- CElevate the affected extremity✓ 正解抬高患肢
- DMassage the calf to improve circulation按摩小腿以改善循環
- EMonitor for signs of pulmonary embolism✓ 正解監測肺栓塞跡象
DVT 病人需嚴格臥床，避免血栓脫落引發肺栓塞。抬高患肢可促進靜脈回流，減輕腫脹與不適。護理過程中需密切監測有無胸痛、呼吸困難等肺栓塞前兆。按摩患肢與熱敷均屬禁忌，因為按摩可能促使血栓剝離進入循環系統，導致嚴重的血管栓塞併發症。
Clients with DVT must observe strict bed rest to prevent thrombus dislodgement and pulmonary embolism. Elevating the affected limb promotes venous return and reduces swelling and discomfort. The nurse must closely monitor for signs of pulmonary embolism such as chest pain and dyspnea. Massage of the affected limb and warm compresses are contraindicated, because massage can dislodge the thrombus into the circulation, leading to serious thromboembolic complications.
兩地臨床皆嚴格執行 DVT 預防脫落照護，台灣部分醫院有時會使用彈性襪，但原則均以預防栓塞脫落為主。