— 生理適應 · EASY · MCQ —
一位深部靜脈栓塞（DVT）病人，下列哪項處置為禁忌？
A nurse is caring for a client with a deep vein thrombosis (DVT). Which intervention is contraindicated?
- AApply warm compresses熱敷
- BElevate the affected extremity抬高患肢
- CMassage the affected leg✓ 正解按摩患腿
- DAdminister heparin infusion給予肝素輸注
— Explanation · 中文詳解 —
深部靜脈栓塞（Deep Vein Thrombosis, DVT）的護理核心在於預防血栓脫落導致致命的肺栓塞（Pulmonary Embolism, PE）。任何物理性的擠壓或機械性刺激都可能導致血栓鬆脫，進入血液循環。按摩患肢會直接對血管壁產生物理力，極大增加血栓脫落的風險，因此嚴禁按摩。護理重點應放在促進靜脈回流、藥物抗凝血治療及監測併發症。
Massaging the affected leg is strictly contraindicated because it can mechanically dislodge the thrombus, potentially leading to a life-threatening pulmonary embolism. Nursing care should instead focus on elevating the limb to promote venous return and administering anticoagulants as prescribed.