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降低風險 · MEDIUM · MCQ

護理師為安裝永久性心律調節器的病人提供出院指導。病人哪項敘述顯示需要進一步衛教?

A nurse is providing discharge instructions to a client who had a permanent pacemaker implanted. Which statement by the client indicates a need for further teaching?

  • AI will avoid standing near anti-theft devices in stores
    我會避免站在商店的防盜裝置附近
  • BI will check my pulse daily and report any significant changes
    我會每天檢查脈搏,並報告任何顯著變化
  • CI will carry my pacemaker identification card at all times
    我會隨時攜帶我的心律調節器識別卡
  • DI can safely have an MRI scan as long as it's for my head✓ 正解
    只要掃描的是頭部,我可以安全地接受 MRI 檢查
Explanation · 中文詳解

為安裝永久性心律調節器(permanent pacemaker)的病人提供出院指導,重點在於確保病人了解如何安全地生活並避免潛在的干擾或併發症。其中,避免電磁干擾是重要的一環,尤其與磁振造影(Magnetic Resonance Imaging, MRI)檢查相關的限制。 傳統的心律調節器含有金屬元件和電子電路,強烈的磁場和射頻能量可能導致調節器功能異常、線圈發熱或移位,進而對病人造成危險。儘管現在有「MRI 相容」(MRI-conditional)的心律調節器,但並非所有裝置都具備此功能,且即使是相容裝置,也需在特定條件下才能進行 MRI 檢查。因此,病人認為只要掃描頭部就安全是錯誤的認知,顯示需要進一步的衛教。

Patients with traditional pacemakers must avoid strong magnetic fields, such as those from MRI machines, as they can cause device malfunction or tissue heating. Even with MRI-conditional devices, specific protocols are required, so assuming safety based solely on the body part being scanned is incorrect. This misconception indicates a need for further education regarding electromagnetic interference precautions.

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