— 基本照護與舒適 · MEDIUM · MCQ —
病人有形成血栓的風險。哪項護理措施對預防血栓最有效？
A client is at risk for thrombus formation. Which nursing intervention is most effective for prevention?
- AMassage of lower extremities按摩下肢
- BApplication of compression stockings✓ 正解穿戴彈性襪
- CMaintaining a warm environment維持溫暖的環境
- DBed rest with limb elevation臥床並抬高肢體
— Explanation · 中文詳解 —
彈性襪（Compression stockings）藉由外部壓力促進靜脈回流，是預防 DVT 的有效方式（B）。臥床不動（D）增加血栓風險，按摩下肢（A）極易導致原有血栓脫落引起栓塞，溫暖環境（C）無顯著預防血栓之效。
Compression stockings are the most effective intervention listed because they apply external pressure to promote venous return and reduce stasis, thereby preventing deep vein thrombosis (DVT). Bed rest increases immobility-related risk, massage can dislodge existing clots causing embolism, and environmental warmth does not significantly impact thrombus formation.
✦ 台美臨床差異
美國醫囑常包含彈性襪與間歇性氣壓設備（SCDs）；台灣醫院也會使用，但需注意病人順從度。