— 生理適應 · HARD · MCQ —
一位剛打上小腿石膏的病人反映藥物無法緩解疼痛，護理師的首要任務為何？
A client with a new cast on their lower leg reports pain that is not relieved by medication. What is the nurse's priority?
- AAdminister another dose of pain medication給予另一劑止痛藥
- BAssess neurovascular status✓ 正解評估神經血管狀態
- CElevate the leg抬高患肢
- DDocument the findings記錄發現
— Explanation · 中文詳解 —
石膏內的疼痛若對止痛藥無效，需強烈懷疑腔室症候群（Compartment syndrome）。首要任務是評估神經血管狀態（末梢脈搏、膚色、溫度、感覺、活動度），若有異常應立即通知醫師，而非單純抬高肢體或給藥。
Unrelieved pain in a casted limb suggests compartment syndrome, a medical emergency requiring immediate assessment of neurovascular status. The nurse must check pulses, color, temperature, sensation, and movement before administering more medication or documenting findings.
✦ 台美臨床差異
美台對於腔室症候群的處置準則高度一致，皆視為整形外科之緊急狀態。