— 降低風險 · MEDIUM · SATA —
護理師教導深層靜脈栓塞(DVT)病人返家照護。應包含哪些衛教內容?(選所有適合的)
A nurse is educating a client with deep vein thrombosis (DVT) on home care. Which instructions should be included? (Select all that apply.)
- AAvoid massaging the affected extremity✓ 正解避免按摩患肢
- BApply warm compresses to the area to increase circulation對患處進行熱敷以增加循環
- CIncrease dietary intake of green leafy vegetables增加綠色葉菜類的飲食攝取
- DUse an electric razor when shaving✓ 正解使用電動刮鬍刀刮鬍
- EReport any unusual bleeding or bruising immediately✓ 正解立即報告任何異常出血或瘀青
— Explanation · 中文詳解 —
深部靜脈栓塞(DVT)病人的護理核心是預防血栓脫落以及預防出血。絕對禁止按摩患肢以免促使血栓剝落,引發肺栓塞。抗凝血治療(如 Warfarin)會增加出血風險,因此需衛教病人使用軟毛牙刷、電動刮鬍刀,並監測異常出血徵兆(如牙齦出血、瘀青)。綠色蔬菜含有維生素 K,會拮抗 Warfarin 的藥效,故飲食需保持穩定。
To prevent pulmonary embolism, clients with deep vein thrombosis must avoid massaging the affected extremity, as this can dislodge the clot. Anticoagulant therapy increases bleeding risk, so clients should use electric razors to minimize cuts and report any unusual bleeding or bruising immediately. Additionally, maintaining a consistent intake of vitamin K-rich foods is essential to stabilize warfarin efficacy.