護理師照護一位剛結束經股動脈心導管檢查並轉回病房的病人，哪項護理措施為優先？
A nurse is caring for a client who has just returned to the unit following a cardiac catheterization via the femoral artery. Which action is the priority nursing intervention?
- AMaintain the client in a supine position維持病人仰臥姿勢
- BCheck the peripheral pulses in the affected extremity✓ 正解檢查受影響肢體的周邊脈搏
- CEncourage increased fluid intake to flush the contrast medium鼓勵增加液體攝取以沖洗顯影劑
- DAssess the puncture site for bleeding or hematoma評估穿刺部位是否有出血或血腫
心導管術後最怕血管阻塞造成周邊缺血，優先檢查遠端脈搏（Distal pulses）確保循環未受阻。出血或血腫雖然重要，但脈搏缺失反映嚴重血管併發症，優先評估動脈暢通度是首要任務。正確答案選擇脈搏檢測以確立肢體灌流正常。
After cardiac catheterization, the major concern is vascular occlusion causing peripheral ischemia, so the priority is to check distal pulses to ensure intact circulation. Although bleeding and hematoma at the puncture site are important, an absent pulse reflects a serious vascular complication, and assessing arterial patency takes precedence. The correct answer therefore focuses on pulse checks to confirm adequate limb perfusion.
美國護理師對血管術後觀察具有高度獨立決策權，台灣則常依醫囑嚴格執行臥床時間，護理師監測脈搏的頻率受單位流程規範。