護理師正在規劃全髖關節置換術後病人的護理措施，應包含哪些內容？（選所有適合的）
A nurse is planning care for a client following a total hip arthroplasty. Which actions should the nurse include in the plan? (Select all that apply.)
- AMaintain abduction of the affected hip using a pillow or wedge✓ 正解使用枕頭或楔形墊保持患側髖關節外展
- BInstruct the client to avoid flexing the hip beyond 90 degrees✓ 正解指導客戶避免髖關節屈曲超過 90 度
- CEncourage the client to cross their legs while sitting to improve circulation鼓勵客戶坐著時交叉雙腿以改善循環
- DUse an elevated toilet seat for the client to prevent extreme hip flexion✓ 正解為客戶使用加高馬桶座以防止髖關節過度屈曲
- EApply anti-embolism stockings as ordered to prevent deep vein thrombosis✓ 正解依醫囑穿戴抗栓塞襪以預防深層靜脈血栓
髖關節置換術後的目標是防止假體脫位（Dislocation）。術後病人應保持患側髖部外展（Abduction），使用枕頭或外展支架來維持，以防止關節受壓；避免髖關節彎曲超過 90 度，因此要避免彎腰與過度屈髖的坐姿。使用加高馬桶座可減輕坐下時的屈髖壓力。預防深部靜脈栓塞（DVT）是術後照顧重點，彈性襪可促進靜脈回流。交叉雙腳（C 選項）是錯誤的，這會導致內收（Adduction）動作，極大增加脫位風險。護理重心在於教育病人出院後的生活調整，嚴禁任何會造成患肢內收或深度屈曲的動作，以保護術後關節完整。
To prevent hip dislocation, the nurse should maintain abduction using a pillow, instruct the client to avoid flexing the hip beyond 90 degrees, and use an elevated toilet seat. Anti-embolism stockings should be applied to prevent deep vein thrombosis. Crossing the legs is contraindicated as it causes adduction, increasing the risk of dislocation.
美國醫院針對全髖關節置換術後有嚴格的物理治療介入標準，常見由物理治療師（PT）直接指導病人並評估居家輔具；台灣則多由護理師衛教為主，輔具取得與教導部分則較仰賴醫師或復健科診斷後由職能治療師處理。