— 基本照護與舒適 · MEDIUM · MCQ —
一位接受髖關節置換術後的病人，護理師應採取哪項措施以預防人工關節脫位？
A nurse is positioning a client who is post-operative for hip arthroplasty. Which intervention is essential to prevent dislocation?
- AEncouraging crossing the legs while sitting鼓勵坐著時交叉雙腿
- BFlexing the hip past 90 degrees將髖關節屈曲超過90度
- CAssisting the client to turn toward the operative side協助病人轉向手術側
- DPlacing an abduction pillow between the legs✓ 正解在雙腿之間放置外展枕
— Explanation · 中文詳解 —
髖關節置換術後須避免內收與過度屈曲，以維持人工關節穩固。使用外展枕（abduction pillow）可維持髖關節外展，防止交叉腿導致脫位。屈曲超過 90 度會對關節施壓，翻身應朝健側（非患側），交叉腿更是絕對禁忌動作。
After total hip arthroplasty, the priority is to prevent adduction and excessive flexion that can dislocate the prosthesis. An abduction pillow between the legs maintains hip abduction. Flexion beyond 90 degrees, turning toward the operative side without support, and crossing the legs are contraindicated because they can displace the femoral head from the acetabulum.
✦ 台美臨床差異
美國醫院常見術後當日即下床活動（Early Ambulation），台灣受限於家屬協助習慣，活動進程可能較保守。