— 基本照護與舒適 · HARD · MCQ —
對於剛上石膏的病人，哪項評估發現暗示了神經血管受損？
Which assessment finding in a client with a new cast indicates neurovascular impairment?
- AEdema of the exposed digits暴露的手指水腫
- BItching under the cast石膏下搔癢
- CWarmth at the cast edges石膏邊緣處發熱
- DParesthesia of the affected extremity✓ 正解患肢感覺異常
— Explanation · 中文詳解 —
神經血管受損的症狀包括 5P 指標：疼痛（Pain）、蒼白（Pallor）、無脈搏（Pulselessness）、感覺異常（Paresthesia）與癱瘓（Paralysis）。感覺異常表示神經受到壓迫，是早期警訊，必須立即處理以避免永久神經損傷。
Paresthesia is a key indicator of neurovascular impairment, signaling potential nerve compression that requires immediate intervention to prevent permanent damage. While some edema, itching, and warmth may be expected post-injury, sensory changes like paresthesia are early warning signs of compromised circulation or nerve function.
✦ 台美臨床差異
兩地對石膏護理與 5P 評估認知一致，美國較強調病人教育，要求病人具備初步辨識異常徵兆的能力。