— 降低風險 · EASY · MCQ —
護理師照護一名全髖關節置換術後的病人。下列哪項護理措施對於預防術後併發症最為優先？
A nurse is caring for a client who is post-operative following a total hip arthroplasty. Which intervention is the priority to prevent postoperative complications?
- AEncourage early ambulation within 24 hours✓ 正解鼓勵於24小時內早期下床活動
- BPerform passive range of motion exercises執行被動關節活動度運動
- CAdminister prophylactic antibiotics給予預防性抗生素
- DApply sequential compression devices應用序貫性氣壓加壓裝置
— Explanation · 中文詳解 —
全髖關節置換術（Total Hip Arthroplasty）後，最致命的併發症為深層靜脈血栓（DVT）與肺栓塞（PE）。早期活動（Early ambulation）能透過肌肉收縮作用（Muscle pump），促進下肢血液回流，有效預防靜脈血栓的形成。這不僅能加速關節功能的恢復，更是降低術後併發症、縮短住院天數最關鍵的護理介入。
Encouraging early ambulation within 24 hours after total hip arthroplasty is the priority intervention to prevent deep vein thrombosis by stimulating muscle contractions that promote venous return. This approach is more effective for overall recovery and complication prevention than passive range of motion, which may compromise hip stability, or relying solely on sequential compression devices.