— 照護管理 · MEDIUM · MCQ —
護理師照護一位膽囊切除術後第一天的病人，病人主訴傷口疼痛 3/10，且不願意下床活動。哪項護理措施最重要？
A nurse is caring for a client who is postoperative day 1 following a cholecystectomy. The client reports mild incisional pain and rates it 3/10. The client is reluctant to ambulate. Which nursing intervention is most important?
- AAdminister pain medication prior to ambulation在下床活動前給予止痛藥物
- BEncourage the client to perform deep breathing exercises鼓勵病患進行深呼吸運動
- CAsk the client to rate their pain again in 1 hour詢問病患在 1 小時後再次評估疼痛程度
- DExplain the importance of early ambulation✓ 正解說明早期下床活動的重要性
— Explanation · 中文詳解 —
膽囊切除術（cholecystectomy）術後第一天，病人的活動意願常受限於傷口疼痛。然而，早期活動（Early Ambulation）是預防術後併發症（如肺炎、肺塌陷、深層靜脈血栓、腸阻塞）的關鍵。護理師的角色在於透過衛教，解釋活動對促進腸蠕動及呼吸功能的重要性，提高病人的配合動機。疼痛管理雖重要，但解釋活動的重要性是促進病人主動參與復健的核心。
Early ambulation is critical after surgery to prevent complications such as pneumonia, deep vein thrombosis, and ileus. While pain management is important, educating the client on the benefits of movement helps overcome reluctance and promotes active participation in recovery.