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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.

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