— 降低風險 · EASY · MCQ —
護理師照護一位剛完成全髖關節置換術的病人。下列哪項護理介入是預防併發症的優先事項？
A nurse is caring for a client who has just undergone a total hip arthroplasty. Which intervention is the priority to prevent complications?
- AEncouraging early ambulation with a walker鼓勵使用助行器早期下床活動
- BAssessing distal pulses in the affected limb評估患肢遠端脈搏
- CMaintaining hip abduction using an abduction pillow✓ 正解使用外展枕維持髖關節外展
- DMonitoring surgical drain output監測外科引流管排出量
— Explanation · 中文詳解 —
全髖關節置換術（THA）後，人工關節尚未穩固，最常見的早期併發症是「關節脫位」（dislocation）。使用外展枕（abduction pillow）能維持雙腿外展，防止髖關節內收（adduction），這是維持人工關節窩穩定的關鍵姿勢。此措施對術後初期病人至關重要，屬於預防併發症的首要護理行動。
After total hip arthroplasty (THA), the prosthesis is not yet firmly seated, and the most common early complication is joint dislocation. Using an abduction pillow keeps the legs abducted and prevents hip adduction, the key position for maintaining stability of the prosthetic joint. This intervention is critical for the initial postoperative period and is the foremost nursing action to prevent complications.