— 照護管理 · HARD · SATA —
照護疑似肺栓塞（PE）的病人，哪些措施是適當的？（選所有適合的）
Which of the following interventions are appropriate for a client with a suspected Pulmonary Embolism (PE)? (Select all that apply.)
- AAdministering oxygen as ordered✓ 正解依指示給予氧氣
- BInitiating intravenous access✓ 正解建立靜脈通路
- CEncouraging early ambulation to prevent further clotting鼓勵早期下床活動以預防進一步的血栓形成
- DMonitoring vital signs frequently✓ 正解頻繁監測生命徵象
- EPreparing for diagnostic imaging such as a CT scan✓ 正解準備進行電腦斷層掃描等診斷性影像檢查
— Explanation · 中文詳解 —
肺栓塞是呼吸循環的急症。給氧緩解低血氧、建立靜脈通道（以便藥物給予）、嚴密監控生命跡象及準備急診掃描（CT）是標準流程。C 錯誤：在肺栓塞急性期，病患必須絕對臥床以防栓子脫落進一步阻塞，不可早期離床活動。
Appropriate interventions for suspected pulmonary embolism include administering oxygen to address hypoxia, establishing IV access for medication administration, monitoring vital signs for hemodynamic stability, and preparing for diagnostic imaging like a CT scan. Early ambulation is contraindicated in the acute phase to prevent further clot dislodgement.
✦ 台美臨床差異
美台對肺栓塞急性期的臥床與治療流程規範一致，皆屬高度緊急之護理範疇。