還有更多這樣的題目挑戰 ›

檢視手術部位感染趨勢。

Trend

選擇作答後，查看答案。

Time	Data
Post-op day 1	Incision approximated, temperature 37.1 C, pain 3/10傷口邊緣對齊，體溫 37.1°C，疼痛 3/10
Post-op day 4	Increasing incisional pain, redness extends 3 cm, temperature 38.4 C切口疼痛加劇，發紅範圍延伸 3 公分，體溫 38.4°C
Post-op day 5	Purulent drainage, WBC 15,500/mm3, wound edges separating膿性引流液，白血球計數 15,500/mm³，傷口邊緣分離

Q1. What complication is suggested?此情況暗示何種併發症？

Surgical site infection with wound dehiscence risk手術部位感染，有傷口裂開風險 Normal healing only僅為正常癒合 Expected bruising預期中的瘀傷 Allergic rhinitis過敏性鼻炎

Q2. Which nursing response is appropriate?下列何項護理處置最為適當？

Notify provider and use sterile wound care as ordered通知醫師，並依醫囑使用無菌傷口護理 Apply nonsterile dressing with bare hands以徒手使用非無菌敷料 Encourage scratching the incision鼓勵搔抓切口 Delay reporting until follow-up延遲至追蹤時再通報

查看答案

相同主題的下一題A nurse is caring for a client newly admitted with suspected methicillin-resistant Staphyl…本題收錄於此題庫[전통+신유형] NCLEX LEVEL UP 패키지KRW 79,000

僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。