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生理適應 · EASY · MCQ

護理師照護一位剛打上石膏的病人,哪項評估為優先?

A nurse is caring for a client with a new cast on their leg. Which nursing assessment is priority?

  • AThe client's appetite
    病人的食慾
  • BTemperature of the room
    室溫
  • CNeurovascular status of the toes✓ 正解
    腳趾的神經血管狀況
  • DLevel of pain in the hip
    髖部的疼痛程度
Explanation · 中文詳解

打石膏後最需擔心的是骨筋膜室症候群(Compartment Syndrome)。護理師應定時評估腳趾的神經血管狀況(5P:Pain, Pallor, Pulselessness, Paresthesia, Paralysis),這能及早發現循環受阻的問題。

After applying a cast, the priority assessment is the neurovascular status of the affected extremity to detect early signs of compartment syndrome. Nurses should monitor for the 5 Ps: pain, pallor, pulselessness, paresthesia, and paralysis.

✦ 台美臨床差異

台美護理師對於石膏護理原則一致,均高度重視 neurovascular checks。

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