— 照護管理 · MEDIUM · MCQ —
護理師為全髖關節置換術後病人規劃出院護理，哪項資訊最關鍵？
A nurse is planning discharge care for a client following a total hip arthroplasty. Which information is critical to include in the plan?
- AAvoid flexing the hip beyond 90 degrees✓ 正解避免髖關節屈曲超過 90 度
- BResume high-impact activities within 2 weeks兩週內恢復高衝擊活動
- CKeep the surgical leg in internal rotation保持手術腿內旋
- DMaintain a low-protein diet for healing維持低蛋白飲食以利癒合
— Explanation · 中文詳解 —
髖關節置換術後的核心護理是預防脫位。病人必須學習髖關節保護技巧，其中最重要是避免髖關節過度屈曲（>90度），例如坐矮椅或穿鞋需特別注意。內部旋轉（C）會導致脫位，正確應避免；高蛋白飲食（D）有助癒合而非限制；高衝擊活動（B）需數月後經評估方可執行。
To prevent dislocation of the new hip prosthesis, clients must avoid flexing the hip beyond 90 degrees during daily activities. This precaution minimizes stress on the surgical site and reduces the risk of the femoral head slipping out of the acetabulum. Additional instructions should include avoiding internal rotation and maintaining adequate protein intake to support tissue healing.
✦ 台美臨床差異
台美皆強調術後輔具（如輔助馬桶座）的使用，美國偏向由物理治療師評估後衛教。