— 生理適應 · EASY · MCQ —
一位裝有人工肛門（Colostomy）的新病人。哪項評估結果顯示造口癒合良好？
A nurse is caring for a client with a new colostomy. Which assessment finding indicates proper stoma healing?
- APink and moist stoma✓ 正解粉紅色且潮濕的造口
- BBleeding around the skin suture site造口周圍縫合處出血
- CDark purple or blue stoma暗紫色或藍色的造口
- DDry, pale appearance乾燥、蒼白的外觀
— Explanation · 中文詳解 —
造口（Stoma）評估是術後護理的重點。正常的造口應呈現粉紅色且潮濕，這顯示其血液循環良好，且有黏膜分泌物保護。若造口呈現暗紫色或藍色，代表缺血（Ischemia），可能導致組織壞死；蒼白或乾燥則暗示貧血或循環不佳；出血則需區分是表面輕微滲血（常見於術後初期）還是深層組織損傷。粉紅潮濕是癒合良好的典型徵象。
A healthy, healing stoma should appear pink and moist, indicating adequate blood perfusion and mucosal integrity. Dark purple or blue discoloration suggests ischemia, while excessive bleeding or dryness may indicate trauma, poor circulation, or dehydration.