— 降低風險 · MEDIUM · MCQ —
肝臟穿刺切片術後的病人，護理師應協助其採何種臥位？
A client returns from a liver biopsy. In which position should the nurse place the client?
- ALeft side-lying with a pillow under the biopsy site左側臥位，並在穿刺部位下方墊枕頭
- BHigh-Fowler's position高福勒氏臥位（High-Fowler's position）
- CRight side-lying with a small pillow under the biopsy site✓ 正解右側臥位，並在穿刺部位下方墊小枕頭
- DSupine with the head of the bed flat仰臥位，床頭保持平坦
— Explanation · 中文詳解 —
肝臟穿刺切片（Liver biopsy）後，病人面臨的主要風險是出血。肝臟位於右上腹，且血流豐富。術後採右側臥位（Right side-lying）是為了利用身體的重量，結合枕頭的物理壓迫，直接壓迫肝臟穿刺部位，達到止血效果。護理師應評估病人的生命徵象，特別是觀察有無內出血徵象（如心跳過快、血壓下降、腹部疼痛或腫脹）。
After a liver biopsy, the client should be placed in a right side-lying position with a small pillow under the biopsy site to apply direct pressure. This positioning utilizes body weight to compress the liver, which is located in the right upper quadrant, thereby minimizing the risk of hemorrhage. Monitoring vital signs is essential to detect early signs of internal bleeding.