護理師照護一位髖關節置換術後的病人，下列哪項措施是預防術後最常見併發症的首要選擇？
A nurse is caring for a client who is post-operative following a total hip arthroplasty. Which intervention is the priority to prevent the most common immediate post-operative complication?
- AAdminister prophylactic antibiotics as scheduled按時給予預防性抗生素
- BMaintain hip abduction with a pillow使用枕頭維持髖關節外展
- CEncourage deep breathing and coughing exercises鼓勵深呼吸與咳嗽運動
- DApply sequential compression devices to both legs✓ 正解雙腿穿戴間歇性氣壓加壓裝置
髖關節置換術後，最常見且具危險性的術後併發症為深層靜脈栓塞（DVT）。使用間歇性氣動加壓裝置（SCD）可促進下肢血液回流，有效預防血栓形成。B 是預防肺炎，B 是預防脫位，A 是預防感染，雖皆重要，但以血栓風險在骨科術後最需優先處理。
Sequential compression devices (SCDs) are the priority intervention to prevent deep vein thrombosis, the most common and dangerous immediate post-operative complication following total hip arthroplasty. While preventing dislocation and infection are important, promoting venous return through SCDs directly addresses the high risk of thromboembolism associated with immobility and orthopedic surgery.
美台兩地在骨科術後皆嚴格執行 SCD，台灣臨床環境中護理師需確認壓力設定符合醫囑，美國則更多依據標準護理作業流程進行護理。