— 基本照護與舒適 · MEDIUM · MCQ —
對於放置石膏的病人,哪項評估最重要?
Which assessment is most important for a client with a cast?
- AThe color of the cast itself石膏本身的顏色
- BThe type of material used for the cast用於石膏的材料類型
- CNeurovascular status distal to the cast✓ 正解石膏遠端的神經血管狀態
- DPatient's ability to sleep with the cast病人戴著石膏睡覺的能力
— Explanation · 中文詳解 —
石膏(Cast)的主要風險是過緊導致組織壓迫。末梢神經血管狀態(Neurovascular status)評估是 NCLEX 的經典考點,護理師需監測「5P」指標:疼痛(Pain)、蒼白(Pallor)、脈搏(Pulselessness)、感覺異常(Paresthesia)與癱瘓(Paralysis),以預防腔室症候群(Compartment syndrome)。
The main risk of a cast is tissue compression from tightness. Neurovascular status distal to the cast is a classic NCLEX assessment point. Nurses must monitor the '5 Ps': Pain, Pallor, Pulselessness, Paresthesia, and Paralysis, to prevent compartment syndrome.