— 降低風險 · MEDIUM · MCQ —
護理師照護一位有出血性疾病病史的病人，哪項行動最能確保安全？
A nurse is caring for a client with a history of bleeding disorders. Which action best ensures safety?
- AEncouraging high-impact sports鼓勵參與高衝擊性運動
- BUsing an electric razor for shaving✓ 正解使用電動刮鬍刀刮鬍
- CUsing a manual blood pressure cuff frequently頻繁使用手動血壓計測量血壓
- DAdministering IM injections daily每日給予肌肉注射
— Explanation · 中文詳解 —
對於凝血功能異常的病人，需執行「出血防護計畫」（Bleeding Precautions）。使用電動刮鬍刀可預防刀片割傷導致不止血；手動血壓計若壓迫過久易造成皮下瘀血；高衝擊運動易受傷；IM 注射易導致肌肉血腫，應盡量改為靜脈或口服給藥。
To ensure safety for clients with bleeding disorders, nurses should implement bleeding precautions, such as using an electric razor to prevent skin nicks and cuts. Intramuscular injections are contraindicated due to the risk of hematoma, and high-impact sports should be avoided to prevent injury. Frequent use of manual blood pressure cuffs may also cause bruising.
✦ 台美臨床差異
美台皆將「出血防護措施」標準化，並列入病人的安全照護計畫中。