護理師為裝有永久性起搏器的病人進行出院衛教。應包含哪些內容?(選所有適合的)
The nurse is providing discharge education to a client with a permanent pacemaker. Which instructions should be included? (Select all that apply.)
- AAvoid standing near anti-theft devices in stores✓ 正解避免站在商店的防盜裝置附近
- BNotify airport security before walking through metal detectors✓ 正解通過金屬探測器前通知機場安檢人員
- CDo not use a microwave oven at home不要在家中使用微波爐
- DReport any redness or swelling at the incision site✓ 正解報告切口部位的任何紅腫
- ECheck your pulse daily and record it✓ 正解每天檢查並記錄您的脈搏
永久性心臟起搏器(Permanent Pacemaker)是一種植入體內的醫療裝置,用於調節心律不整,確保心臟能以適當的速率跳動。病人出院後,需要了解如何安全地與起搏器共存,避免可能干擾起搏器功能的電磁場,並學會監測自身狀況以早期發現併發症。護理師的衛教對於確保病人居家安全和長期健康至關重要。本題考驗護理師對起搏器病人出院衛教的全面性知識,特別是電磁干擾和感染預防方面。
A permanent pacemaker is an implanted medical device used to regulate arrhythmias and ensure that the heart beats at an appropriate rate. After discharge, the client must learn how to live safely with the pacemaker, avoid electromagnetic fields that may interfere with its function, and monitor for early signs of complications. Nursing education is crucial for ensuring home safety and long-term health. This item assesses the nurse's comprehensive knowledge of discharge teaching for pacemaker patients, particularly regarding electromagnetic interference and infection prevention.
永久性心臟起搏器的出院衛教在美國和台灣是高度相似的。兩地都強調避免強電磁場干擾、監測植入部位感染徵象以及定期追蹤。然而,關於微波爐的使用,美國的指引更明確指出現代微波爐通常是安全的,這與過去的建議有所不同。台灣的衛教也已更新,但有些病人可能仍保有舊觀念。在美國,病人通常會拿到一份詳細的起搏器識別卡,其中包含裝置型號和醫療聯絡資訊,並被鼓勵在機場安檢時出示。台灣的病人也領取類似的起搏器識別卡,但可能較少主動在安檢時出示。