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降低風險 · EASY · MCQ

護理師照護一位使用攜帶式傷口引流管的術後病人,採取哪項行動能確保裝置運作正常以降低感染風險?

A nurse is caring for a postoperative client who has a portable wound suction device. Which action ensures the device is functioning correctly to reduce the risk of infection?

  • AClean the wound site with hydrogen peroxide daily
    每天用雙氧水清潔傷口部位
  • BPosition the drainage bag higher than the wound level
    將引流袋置於高於傷口的位置
  • CEmpty the reservoir only when it is completely full
    僅在儲液囊完全充滿時才排空
  • DKeep the device compressed to maintain negative pressure✓ 正解
    保持裝置壓縮狀態以維持負壓
Explanation · 中文詳解

攜帶式引流裝置(如 Hemovac 或 Jackson-Pratt)依賴負壓抽吸來移除傷口滲液,防止滲液積聚導致細菌滋生。維持裝置壓縮狀態是確保負壓持續的核心步驟,若裝置膨脹則負壓喪失,引流效果會下降,增加感染與組織癒合不良風險。

Portable drainage devices (such as Hemovac or Jackson-Pratt) rely on negative-pressure suction to remove wound drainage and prevent fluid accumulation that could promote bacterial growth. Maintaining the device in a compressed state is essential to sustaining negative pressure; if the device expands, the negative pressure is lost, drainage efficacy declines, and the risk of infection and poor tissue healing increases.

✦ 台美臨床差異

美台皆強調負壓維持,但台灣臨床常見病患或家屬頻繁更換引流袋,護理師需加強教導無菌操作技術。

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