— 降低風險 · EASY · MCQ —
護理師照護一位髖關節置換術後病人，下列哪項護理措施對降低深層靜脈栓塞風險最優先？
A nurse is caring for a client who is post-operative following a hip arthroplasty. Which nursing intervention is priority to reduce the risk of deep vein thrombosis?
- AMassage the lower extremities to improve circulation按摩下肢以改善循環
- BApply warm compresses to the calf在小腿應用熱敷
- CEncourage early ambulation as prescribed✓ 正解鼓勵按規定早期下床活動
- DMaintain bed rest for 48 hours維持卧床休息48小時
— Explanation · 中文詳解 —
髖關節置換術後（Post-op hip arthroplasty）的病人，由於手術部位大、血液循環受阻及長期臥床，形成深層靜脈栓塞（DVT）的風險極高。預防 VTE（靜脈血栓栓塞）的核心是促進血液回流。早期下床活動（Early ambulation）能利用肌肉幫浦效應促進下肢血液回流，防止血液淤滯，被證實是預防血栓最有效的措施。
Deep vein thrombosis is a serious risk after hip arthroplasty due to immobility and surgical trauma. Early ambulation is the priority intervention because it utilizes muscle pumps to promote venous return and prevent blood stasis in the lower extremities. Massaging the legs is contraindicated as it may dislodge an existing clot, and prolonged bed rest increases thrombosis risk.