— 降低風險 · MEDIUM · MCQ —
病人因深層靜脈栓塞（DVT）入院，下列哪項護理措施是禁忌的？
A client is admitted with a deep vein thrombosis (DVT). Which nursing action is contraindicated?
- AMassaging the affected leg to improve circulation✓ 正解按摩患肢以改善循環
- BAdministering anticoagulants as prescribed依醫囑給予抗凝血劑
- CElevating the affected limb抬高患肢
- DApplying warm compresses to the affected area對患處施加溫熱敷
— Explanation · 中文詳解 —
深層靜脈栓塞（DVT）病人的護理重點是防止血栓脫落引發肺栓塞（PE）。按摩患肢是絕對禁忌，因為按摩的物理力量極易導致附著於靜脈壁的血栓脫落，隨血液循環進入肺部，造成致命性的肺栓塞。其他護理措施如抬高患肢可促進靜脈回流，減輕水腫；熱敷可緩解疼痛；抗凝血劑則是用於治療 DVT 的標準藥物，用以抑制血栓擴大。
Massaging the affected leg is strictly contraindicated in clients with deep vein thrombosis because it may dislodge the clot and cause a pulmonary embolism. Nursing care should focus on administering anticoagulants, elevating the limb to promote venous return, and applying warm compresses for pain relief.