對於疑似肺栓塞（PE）的病人，下列哪項護理措施最恰當？
Which of the following nursing interventions is most appropriate for a client with a suspected pulmonary embolism (PE)?
- AElevate the head of the bed and administer oxygen✓ 正解抬高床頭並給予氧氣
- BMassage the affected leg to promote venous return按摩患肢以促進靜脈回流
- CPlace the client in a supine position將病人置於仰臥位
- DAmbulate the client to improve circulation讓病人散步以改善循環
肺栓塞（Pulmonary Embolism, PE）會導致肺動脈阻塞，造成嚴重的通氣與灌流不匹配（V/Q mismatch），導致低血氧。護理優先順序依循 ABC（Airway, Breathing, Circulation）原則，首要任務是改善氧合。採取半坐臥位（High-Fowler's position）能減輕橫膈壓力，改善肺部擴張與氣體交換，並配合給氧以緩解缺氧症狀，這是最能立即改善病人生理狀態的措施。
The priority nursing intervention for a client with suspected pulmonary embolism is to elevate the head of the bed and administer oxygen to improve ventilation-perfusion matching and alleviate dyspnea. Massaging the legs is contraindicated due to the risk of dislodging additional clots, while ambulation and supine positioning can worsen respiratory status and oxygenation.
台美臨床對於 PE 病人的急性護理核心一致。美國護理師須特別留意在給予抗凝血劑（如 Heparin）期間，必須嚴格遵守 Bed rest 指引，直到治療達到預期療效（therapeutic range）為止。