— 降低風險 · EASY · MCQ —
護理師照護一位全髖關節置換術後病人，下列哪項護理措施對預防髖關節脫臼最為關鍵？
A nurse is caring for a client who is post-operative following a total hip arthroplasty. Which intervention is priority to prevent potential risk of hip dislocation?
- APerform passive range of motion to the affected hip對患側髖關節執行被動關節活動
- BEncourage the client to cross legs while sitting鼓勵病人坐著時交叉雙腿
- CMaintain bed rest for 48 hours維持臥床休息 48 小時
- DUse an abductor pillow between the legs✓ 正解在雙腿之間使用外展枕
— Explanation · 中文詳解 —
全髖關節置換術後，核心護理目標是預防人工關節脫位。使用外展枕（Abductor pillow）能防止病人睡覺時雙腿併攏或交叉，維持髖關節於外展位，是臨床上最基礎且有效的預防措施。維持床位限制（C）非預防脫位的主要措施；交叉腿（B）嚴禁； passive ROM（A）過度操作反而增加脫位風險，應由物理治療師指導進行。
An abductor pillow is the priority intervention to maintain the hip in a neutral or abducted position, preventing adduction and internal rotation that could cause dislocation. Crossing the legs is strictly prohibited, and passive range of motion should be performed cautiously under guidance to avoid stressing the surgical site.