— 生理適應 · EASY · SATA —
護理師照護一位腿部剛打上石膏的病人，哪些項目屬於神經血管狀態的「5 Ps」？（選所有適合的）
A nurse is caring for a client with a new cast on their leg. Which findings are included in the '5 Ps' of neurovascular status? (Select all that apply.)
- APulse✓ 正解脈搏
- BWarmth溫暖
- CPallor✓ 正解蒼白
- DEdema水腫
- EPain✓ 正解疼痛
— Explanation · 中文詳解 —
傳統神經血管評估的 5 Ps 為疼痛、蒼白、脈搏減弱或消失、感覺異常及麻痺。新石膏病人若出現與傷勢不成比例的疼痛、蒼白或遠端脈搏改變，應立即進一步評估腔室症候群。肢體溫度與水腫也是重要觀察資料，但不是傳統 5 Ps 的命名項目。
The '5 Ps' of neurovascular assessment include pain, pulse, pallor, paresthesia, and paralysis, which are essential for detecting complications like compartment syndrome or cast tightness. Since all listed options are components of this comprehensive assessment, the nurse must evaluate all of them.
✦ 台美臨床差異