— 基本照護與舒適 · EASY · MCQ —
一位病人因平躺時感到呼吸困難。護理師應將病人調整為哪種姿勢以利呼吸?
A client presents with dyspnea while lying flat. Which position should the nurse place the client in to facilitate breathing?
- ASupine仰臥
- BTrendelenburg特倫德倫伯氏臥位(頭低腳高位)
- CHigh-Fowler's✓ 正解高福勒氏臥位(高半坐臥位)
- DProne俯臥
— Explanation · 中文詳解 —
高半坐臥位(High-Fowler's,床頭抬高 60-90 度)利用重力降低腹部臟器對橫膈膜的壓迫,並擴張胸腔空間,是緩解呼吸困難的最佳體位。Trendelenburg(頭低腳高)會加重呼吸負擔,Supine(平躺)與呼吸困難衝突。
High-Fowler's position (head of bed elevated 60-90 degrees) uses gravity to reduce abdominal organ compression on the diaphragm and expand thoracic space, making it the optimal position for relieving dyspnea. Trendelenburg (head down) worsens respiratory burden, and supine position conflicts with dyspnea relief.
✦ 台美臨床差異
皆遵循標準護理常規,無差異。