— 降低風險 · EASY · MCQ —
護理師照護一位髖關節置換術後病人，下列哪項護理措施能最有效降低深層靜脈栓塞（DVT）的風險？
A nurse is caring for a client who is post-operative following a hip arthroplasty. Which intervention is the priority to reduce the risk of deep vein thrombosis (DVT)?
- AApplying sequential compression devices (SCDs) while the client is in bed✓ 正解於病患卧床時使用間歇性加壓裝置（SCDs）
- BAssessing the surgical incision site for signs of infection評估手術切口部位是否有感染跡象
- CMaintaining the client's fluid restriction as ordered遵照指示維持病患的水分限制
- DEncouraging the client to perform deep breathing exercises鼓勵病患進行深呼吸運動
— Explanation · 中文詳解 —
髖關節置換術後，病人因手術創傷、臥床不動及血管內皮受損，處於深層靜脈栓塞（DVT）的高危險期。根據 Virchow's Triad（血流鬱滯、血管內皮損傷、血液高凝狀態），機械性預防措施是第一線護理。連續性氣壓式腿部加壓器（SCDs）能有效促進下肢血液回流，防止深部靜脈血液鬱積，從而降低血栓形成的機率。
Post-operative hip arthroplasty clients are at high risk for deep vein thrombosis due to immobility and vascular trauma. Applying sequential compression devices (SCDs) is a priority mechanical intervention that promotes venous return and prevents blood stasis in the lower extremities. While assessing the incision and encouraging deep breathing are important, they do not directly address the immediate risk of DVT formation.