— 降低風險 · EASY · MCQ —
護理師照護一位接受全髖關節置換術的病人，哪項措施對於預防術後併發症最為優先？
A nurse is caring for a client who had a total hip arthroplasty. Which action is priority to prevent potential post-operative complications?
- AApply compression stockings as ordered依指示穿著彈性襪
- BEncourage deep breathing and coughing鼓勵深呼吸和咳嗽
- CMaintain abduction pillow between legs✓ 正解在雙腿之間保持外展枕
- DAdminister prophylactic antibiotics給予預防性抗生素
— Explanation · 中文詳解 —
髖關節置換術後，預防人工關節脫臼為護理核心。使用外展枕固定患肢於外展位置，避免內收、過度屈曲或旋轉，是防止假體脫位最關鍵的護理動作。其他選項雖為術後常規，但脫臼具備直接且严重的生理致殘風險，需優先執行。
After total hip arthroplasty, preventing prosthetic dislocation is the central nursing focus. Using an abduction pillow to keep the affected limb in abduction and prevent adduction, excessive flexion, or rotation is the most critical action for preventing dislocation. While the other options are routine postoperative measures, dislocation carries a direct and serious risk of physical disability and must be addressed first.
✦ 台美臨床差異
美國護理師常主導術後安全擺位教育；台灣臨床則常由物理治療師協同指導，護理師負責執行醫囑。