— 照護管理 · HARD · MCQ —
一位打石膏的病人，出現哪項評估發現需要立即向醫師報告？
Which assessment finding in a client with a casted leg requires immediate reporting to the provider?
- AItching under the cast石膏內搔癢
- BMuscle atrophy of the calf小腿肌肉萎縮
- CToes that are pale and cold to touch✓ 正解腳趾蒼白且觸感冰冷
- DDifficulty moving the leg within the cast在石膏內移動腿部困難
— Explanation · 中文詳解 —
蒼白且冰冷的足趾是末梢循環受阻的徵兆，可能是腔室症候群（Compartment Syndrome）的表現，若不立即處理會導致組織壞死。石膏內搔癢屬常見副作用；輕微肌肉萎縮為長期固定的預期結果；受石膏限制而活動不便也是預期情況，皆不屬於急症。
Pale, cold toes are a sign of impaired peripheral circulation and may indicate compartment syndrome, which can lead to tissue necrosis if not addressed immediately. Itching beneath the cast is a common side effect; mild calf muscle atrophy is an expected result of prolonged immobilization; and limited movement within the cast is also expected; none of these are emergencies.
✦ 台美臨床差異
臨床皆使用 6P 指標（Pain, Pallor, Pulselessness, Paresthesia, Paralysis, Poikilothermia）評估，台美無差異。