— 降低風險 · MEDIUM · MCQ —
護理師正在向病人衛教預定的腹腔穿刺術。病人的哪句話表示理解該程序？
A nurse is teaching a client about a scheduled paracentesis. Which statement by the client indicates understanding of the procedure?
- AI should empty my bladder right before the procedure✓ 正解我應該在手術前立刻排空膀胱
- BThe doctor will remove all the fluid in my abdomen at once醫生會一次移除我腹部所有的液體
- CI will need to stay in bed for 24 hours after the procedure手術後我需要卧床24小時
- DI will be put under general anesthesia我會被施予全身麻醉
— Explanation · 中文詳解 —
這道題目旨在評估護理師對腹腔穿刺術（Paracentesis）病人衛教的理解程度。腹腔穿刺術是從腹腔中移除多餘液體的醫療程序，常用於治療腹水。術前準備的核心是確保病人安全，避免併發症。其中，排空膀胱是至關重要的一步，因為這能大幅降低穿刺針意外刺傷膀胱的風險，確保手術過程的安全性。護理師的衛教應強調這一點，並確保病人理解其重要性。
Emptying the bladder before a paracentesis is crucial to prevent accidental puncture of the bladder by the needle during the procedure. This safety measure minimizes the risk of complications and ensures the integrity of surrounding organs while removing ascitic fluid.
✦ 台美臨床差異
美國程序中非常強調術後血壓監測以防休克；台灣除了監測，也常在術後給予 Albumin 以維持滲透壓。