— 生理適應 · MEDIUM · MCQ —
一位病人安排了心導管檢查。術後最重要的一項護理介入為何？
A client is scheduled for a cardiac catheterization. Which nursing intervention is most important post-procedure?
- AApply a heat pack to the puncture site在穿刺部位敷熱敷包
- BAssess peripheral pulses in the affected extremity✓ 正解評估患側肢體的周邊脈搏
- CEncourage the client to walk immediately鼓勵病人立即行走
- DRemove the dressing after 1 hour1小時後移除敷料
— Explanation · 中文詳解 —
心導管檢查（Cardiac catheterization）是侵入性血管介入治療。術後最嚴重的併發症為穿刺部位出血、血腫或血栓形成導致的肢體缺血。因此，護理師術後最核心的任務是密切監測受影響肢體的周邊脈搏（Peripheral pulses）、皮膚溫度與顏色，以確保血流灌注正常。若脈搏減弱或肢體冰冷，需立即通知醫師。
Cardiac catheterization is an invasive procedure where the most serious complication is bleeding or thrombosis at the puncture site, potentially leading to limb ischemia. Therefore, the nurse's primary post-procedure responsibility is to closely monitor peripheral pulses, skin temperature, and color in the affected extremity to ensure adequate blood perfusion.