— 基本照護與舒適 · MEDIUM · MCQ —
護理師應採取哪項措施以預防臥床病人的併發症？
Which action should the nurse take to prevent complications for a client on bed rest?
- AAvoid turning the client to keep them stable避免翻身以保持穩定
- BProvide a high-fat diet for energy提供高脂肪飲食以補充能量
- CPerform passive range-of-motion exercises✓ 正解執行被動關節活動運動
- DKeep the client strictly immobilized使病人嚴格保持固定不動
— Explanation · 中文詳解 —
長期臥床會導致肌肉萎縮（muscle atrophy）、關節攣縮（contracture）及靜脈血栓（DVT）等併發症。被動式關節活動（Passive Range-of-Motion, PROM）是護理師介入以維持關節活動度、促進靜脈回流的關鍵措施。臨床思路應優先考慮預防不動帶來的生理損害，而非僅僅是維持臥床狀態。
Bed rest increases the risk of complications such as muscle atrophy, joint contractures, and deep vein thrombosis. Performing passive range-of-motion exercises helps maintain joint flexibility and promotes venous return, effectively mitigating the physiological harms associated with prolonged immobility.