— 降低風險 · HARD · MCQ —
一位病人即將進行心導管檢查。下列哪項護理措施對預防術後併發症至關重要？
A client is scheduled for a cardiac catheterization. Which nursing intervention is essential to prevent complications post-procedure?
- AEncourage the client to ambulate immediately鼓勵病人立即行走
- BMaintain pressure dressing over the insertion site✓ 正解在插入處維持加壓包紮
- CKeep the client in high Fowler's position讓病人保持高福勒氏體位
- DMonitor the apical pulse every 15 minutes每15分鐘監測心尖脈搏
— Explanation · 中文詳解 —
心導管術後最常見的風險為穿刺部位出血或血腫。維持穿刺處加壓包紮並確保肢體平直是預防血管併發症的首要護理措施。早期下床會增加出血風險，高坐姿易壓迫腹股溝血管，監測重點在於穿刺側肢體的遠端循環（脈搏、顏色、溫度）。
Maintaining a pressure dressing over the insertion site is essential to prevent hematoma formation and bleeding after cardiac catheterization. Early ambulation or positions that increase femoral pressure should be avoided until hemostasis is confirmed.
✦ 台美臨床差異
美國醫院常見使用血管閉合裝置（Closure device），台灣則多見傳統加壓止血，照護重點稍有不同。