— 基本照護與舒適 · MEDIUM · SATA —
規劃照護一位活動受限的病人時，護理師應監測哪些併發症？（選所有適合的）
When planning care for a client with impaired mobility, which of the following complications should the nurse monitor for? (Select all that apply.)
- APressure ulcers✓ 正解壓力性損傷
- BConstipation✓ 正解便秘
- CDeep vein thrombosis (DVT)✓ 正解深層靜脈栓塞 (DVT)
- DMuscle atrophy✓ 正解肌肉萎縮
- EHypoactivity of the kidneys腎臟功能低下
— Explanation · 中文詳解 —
長期不動會導致多系統失調。壓瘡源於局部缺血；便秘起因於腸蠕動減慢；DVT 因靜脈回流不佳導致血液淤滯；肌肉萎縮為廢用性退化；腎臟本身並非活動受限的直接併發症，但若伴隨鈣質流失可能引發腎結石，非直接 hypoactivity。
Impaired mobility increases the risk of multiple complications, including pressure ulcers from sustained tissue pressure, constipation due to slowed bowel motility, and deep vein thrombosis from venous stasis. Additionally, lack of physical activity leads to muscle atrophy, whereas renal hypoactivity is not a direct consequence of immobility.
✦ 台美臨床差異
無顯著差異。