— 照護管理 · MEDIUM · MCQ —
護理師觀察到助理員協助全髖關節置換術後病人下床，哪項行為需要護理師立即介入？
An unlicensed assistive personnel (UAP) is observed assisting a client with a total hip arthroplasty to get out of bed. Which action by the UAP requires immediate intervention by the nurse?
- AThe UAP maintains the client's legs in slight abduction護理佐理員使病人的雙腿保持輕微外展
- BThe UAP assists the client to put on non-slip footwear護理佐理員協助病人穿上止滑鞋
- CThe UAP allows the client to pivot on the operative leg✓ 正解護理佐理員允許病人在手術側肢體上轉動
- DThe UAP ensures the walker is within the client's reach護理佐理員確保助行器在病人可觸及範圍內
— Explanation · 中文詳解 —
全髖關節置換術（THA）後有嚴格的活動限制，目的是防止人工關節脫位。術後限制包括：不可屈曲髖關節超過 90 度、不可內收（Adduction）以及不可內旋（Internal rotation）。讓病人在患側肢體上進行旋轉（Pivot）會造成劇烈的內旋與不當受力，極易導致人工關節脫位，這是護理師需立即糾正的危險動作。
Pivoting on the operative leg after total hip arthroplasty creates excessive torque and internal rotation, significantly increasing the risk of prosthetic hip dislocation. The nurse must intervene immediately to correct this unsafe movement and instruct the UAP to have the client pivot on the non-operative leg instead.