# 一名小腿打上石膏的個案主訴劇烈疼痛，且使用處方鴉片類藥物後仍未緩解。腳趾蒼白且個案表示麻木。護理師應懷疑何種併發症？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397278&lang=zh-tw  
> language: zh-TW  
> subject: Complications of Procedures  
> category: ROR

## 題目

一名小腿打上石膏的個案主訴劇烈疼痛，且使用處方鴉片類藥物後仍未緩解。腳趾蒼白且個案表示麻木。護理師應懷疑何種併發症？

## 選項

1. 預期中的石膏不適。
2. 腔室症候群。 **✔ 正確答案**
3. 靜脈鬱積性皮膚炎。
4. 輕度肌肉拉傷。

**正確答案: 2**

## 解析

打上石膏後出現鴉片類藥物無法緩解的劇烈疼痛，伴隨蒼白及麻木，暗示為腔室症候群，這是一種危及肢體的緊急情況。這並非預期中的石膏不適。需要立即進行神經血管評估並通知醫師。

## 深入解析

臨床判斷
利用個案線索、時機、檢驗數據及安全風險，選擇最符合石膏神經血管受損的回應。

記憶提示
將最強的線索群組與最安全的護理判斷配對。

KR vs US
NCLEX 考題獎勵基於線索的優先思考，而非單獨的記憶。

## 臨床情境

臨床實務指引
針對石膏神經血管受損，將完整的線索模式與個案當前的穩定性、醫囑數據及預期的護理範圍進行比較。

注意
當完整情境改變優先順序或安全性時，切勿僅根據單一線索選擇行動。

## 重要概念

- **腔室症候群** — 密閉肌肉腔室內壓力增加，導致灌注減少。
- **神經血管評估** — 評估循環、感覺、運動、疼痛及脈搏。
- **石膏** — 用於固定受傷骨骼或關節的堅硬裝置。

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