— 生理適應 · MEDIUM · SATA —
護理師照護一位剛置入周邊置入中心靜脈導管（PICC）的病人時，應優先採取哪些措施？（選所有適合的）
Which of the following actions should the nurse prioritize when caring for a client with a new peripherally inserted central catheter (PICC)? (Select all that apply.)
- AVerify placement with a chest X-ray before initial use✓ 正解初次使用前以胸部X光確認導管位置
- BUse sterile technique for dressing changes✓ 正解更換敷料時使用無菌技術
- CFlush the catheter with 10 mL syringe for irrigation✓ 正解使用10 mL針筒沖洗導管
- DChange the transparent dressing every 24 hours每24小時更換透明敷料
- EAssess the insertion site for redness or swelling✓ 正解評估穿刺點是否有紅腫
— Explanation · 中文詳解 —
PICC 照護重點為預防感染與導管阻塞。置入後必須經由 X 光確認導管末端位置；換藥需採無菌技術；沖洗導管須用 10 mL 以上針筒以防高壓導致導管破裂；需定期評估穿刺部位有無感染徵象。透明敷料通常每 7 天更換，非每 24 小時。
PICC line care requires verifying tip placement via chest X-ray, using sterile technique for dressing changes, flushing with a 10 mL syringe to prevent high-pressure damage, and assessing the site for infection. Dressings are typically changed every 7 days, not daily.
✦ 台美臨床差異
美國護理師常具備執行置入或拔除 PICC 的專業認證，台灣則多由醫師或麻醉科執行，護理師負責照護。