— 降低風險 · EASY · MCQ —
護理師照護一位全髖關節置換術後病人，下列哪項措施對預防併發症至關重要？
A nurse is caring for a client who is post-operative following a total hip arthroplasty. Which intervention is essential to prevent complications?
- AElevate the head of the bed to 90 degrees將床頭抬高至 90 度
- BEncourage the client to cross their legs to increase comfort鼓勵病人交叉雙腿以增加舒適感
- CUse an abduction pillow while in bed✓ 正解在床上使用外展枕
- DRemove compression stockings for 12 hours daily每天移除彈性襪 12 小時
— Explanation · 中文詳解 —
全髖關節置換術（THA）術後最重要的安全指標是預防假體脫位（dislocation）。術後病人必須嚴格遵守髖關節活動限制，避免髖關節過度內收（adduction）、過度屈曲（flexion > 90度）及內旋（internal rotation）。使用外展枕頭（abduction pillow）能確保雙腿維持外展，防止交叉雙腿的動作，這是預防脫位的核心護理手段。
Using an abduction pillow maintains the legs in a neutral, abducted position, which prevents hip adduction and internal rotation that could cause prosthetic dislocation. Other interventions such as elevating the head of the bed excessively or crossing the legs violate post-operative hip precautions and increase the risk of complications.