— 基本照護與舒適 · MEDIUM · MCQ —
對於靜脈輸液的病人,哪項評估最重要?
Which assessment is most important for a patient with an IV infusion?
- AAssessing the patient's favorite color評估病人喜愛的顏色
- BChecking the manufacturer of the tubing檢查管路的製造商
- CChecking the infusion site for redness and swelling✓ 正解檢查輸液部位是否有紅腫
- DDocumenting the date of the patient's last surgery記錄病人上次手術的日期
— Explanation · 中文詳解 —
靜脈輸液(IV infusion)照護的核心在於預防感染與早期識別血管併發症。護理師必須定期評估穿刺部位(Insertion site),因為靜脈炎(Phlebitis)或滲漏(Infiltration)可能在短時間內惡化。選項 C 直接關聯到病人的安全與輸液通暢性。其他選項如製造商、個人喜好或手術病史,均非評估輸液安全性的優先項目。
The most critical assessment for a client receiving intravenous therapy is inspecting the infusion site for signs of complications such as redness, swelling, or infiltration. Early detection of phlebitis or infiltration prevents tissue damage and infection, ensuring patient safety. Other factors like tubing manufacturer or patient preferences are not clinically relevant to immediate IV safety.