一位接受全髖關節置換術後的病患，下列哪項護理措施對預防神經血管受損最為關鍵？
A nurse is caring for a client who is post-operative following a total hip arthroplasty. Which intervention is the priority to prevent neurovascular compromise?
- AAdminister prophylactic anticoagulants as ordered依醫囑給予預防性抗凝血劑
- BMaintain the hip in slight abduction with a pillow使用枕頭保持髖關節輕度外展
- CAssess pedal pulses and capillary refill every 4 hours✓ 正解每 4 小時評估足背動脈與微血管回充時間
- DEncourage the client to perform deep breathing exercises鼓勵病人進行深呼吸運動
全髖置換術後，患肢的神經血管評估（循環、感覺、運動，簡稱 CSM）是評估術後併發症的首要任務，以確保沒有因繃帶過緊或手術壓迫導致的神經損傷或循環障礙。雖然 B 可預防脫位，D 預防呼吸併發症，A 預防栓塞，但神經血管評估是立即識別生命威脅性併發症的核心。
After total hip arthroplasty, neurovascular assessment of the affected limb (circulation, sensation, motion, or CSM) is the priority for evaluating postoperative complications to ensure there is no nerve injury or circulatory impairment due to a tight dressing or surgical compression. Although option B prevents dislocation, D prevents respiratory complications, and A prevents thromboembolism, neurovascular assessment is central to immediately identifying life-threatening complications.
美台臨床對於術後評估頻率與流程基本一致，皆強調整體神經血管評估的重要性。