— 生理適應 · EASY · MCQ —
照顧剛打上石膏的病人，哪項介入措施最重要？
Which intervention is priority when caring for a client with a new cast?
- ACover the cast with a plastic sheet以塑膠布覆蓋石膏
- BMonitor neurovascular status of the extremity✓ 正解監測患肢的神經血管狀態
- CIncrease the humidity in the room增加室內濕度
- DApply a heating pad to the cast在石膏上放置熱敷墊
— Explanation · 中文詳解 —
石膏若過緊會導致腔室症候群。護理師需嚴密監測末梢神經血管狀態（六個 P：Pain, Pallor, Pulselessness, Paresthesia, Paralysis, Poikilothermia）。使用加熱或覆蓋塑膠片會阻礙水分蒸發，導致石膏無法硬化或內部潮濕發霉。
Monitoring neurovascular status is the priority to detect early signs of compartment syndrome, which can occur if a cast is too tight. Interventions such as applying heat or covering the cast with plastic hinder proper drying and may lead to skin breakdown or infection, making them inappropriate.
✦ 台美臨床差異
無明顯差異，皆極度重視腔室症候群的識別。