— 降低風險 · EASY · MCQ —
護理師照護一位髖關節置換術後的病人，預防深層靜脈栓塞的優先措施為何？
A nurse is caring for a client who is post-operative following a hip arthroplasty. Which intervention is the priority to prevent deep vein thrombosis?
- AMassage the lower extremities to improve circulation按摩下肢以改善循環
- BEncourage early ambulation and leg exercises✓ 正解鼓勵早期下床活動與腿部運動
- CMaintain bed rest for 48 hours維持臥床休息48小時
- DApply warm compresses to the calf在小腿處施加熱敷
— Explanation · 中文詳解 —
髖關節置換術後病人因長期臥床、手術創傷及血管壁受損，屬於深層靜脈栓塞（DVT）的高風險群。早期活動（Early Ambulation）透過肌肉幫浦作用（Muscle Pump Action）促進靜脈血液回流，是預防靜脈鬱滯（Venous Stasis）最有效的方法。安全性評估上，應協助病人早期下床，並配合腿部運動，以降低血栓形成風險。
Post-operative hip arthroplasty clients are at high risk for deep vein thrombosis due to immobility and vascular trauma. Early ambulation and leg exercises utilize the muscle pump mechanism to promote venous return and prevent venous stasis, making this the most effective preventive intervention. Massaging the legs is contraindicated as it may dislodge an existing clot.