— 降低風險 · EASY · MCQ —
護理師照護一位髖關節置換術後病人，下列哪項護理措施最能有效降低深部靜脈栓塞（DVT）的風險？
A nurse is caring for a client who is post-operative following a hip arthroplasty. Which action by the nurse most effectively reduces the risk of deep vein thrombosis (DVT)?
- APlacing a pillow under the client's knees在病人的膝蓋下方放置枕頭
- BApplying sequential compression devices (SCDs)✓ 正解應用循序加壓裝置 (SCDs)
- CEncouraging frequent intake of oral fluids鼓勵頻繁攝取口服液體
- DAssisting the client to turn every 2 hours協助病人每 2 小時翻身
— Explanation · 中文詳解 —
髖關節手術後發生 DVT 風險極高。間歇性氣動加壓器 (SCDs) 透過促進下肢靜脈回流，是預防靜脈血栓形成的標準且最有效的機械性措施。其他選項雖為一般護理常規，但在預防 DVT 的證據力上不及 SCDs。
Sequential compression devices (SCDs) are the most effective mechanical intervention for preventing deep vein thrombosis after hip arthroplasty by promoting venous return and reducing blood stasis. While hydration and turning are important, they do not specifically target venous stasis as directly as SCDs.
✦ 台美臨床差異
美護理師常獨立執行 SCD 的使用評估；台灣通常需配合物理治療師或醫師評估，但護理師執行頻率與監測同樣嚴謹。