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基本照護與舒適 · MEDIUM · MCQ

護理師協助左側肢體無力的病人使用助行器行走。護理師應站在哪裡以提供最佳支持?

A nurse is assisting a client with a weak left side to walk with a walker. Where should the nurse stand to provide the best support?

  • ABehind the client, holding them by the waist.
    在病人背後,扶著病人的腰部
  • BOn the client's left side, slightly behind them.✓ 正解
    在病人的左側,稍微位於其後方
  • CIn front of the client to pull them forward.
    在病人前面,拉著病人向前
  • DOn the client's right side, slightly behind them.
    在病人的右側,稍微位於其後方
Explanation · 中文詳解

輔助病人行走時,護理師應站在病人的「患側(Weaker side)」且稍微偏後。這樣可以在病人不穩時及時支撐患側。左側無力則應站在左後方(B)。站在前方(C)會阻礙視線且不安全;站在健側(D)無法在最需要支撐的部位提供力量。應配合使用移位帶(Gait belt)以加強安全。

When assisting a patient with walking, the nurse should stand on the patient's 'weaker side' and slightly behind. This allows the nurse to support the weaker side immediately if the patient becomes unsteady. For left-sided weakness, the nurse should stand on the patient's left and slightly behind (B). Standing in front (C) obstructs the patient's view and is unsafe; standing on the stronger side (D) cannot provide support where it is most needed. A gait belt should also be used to enhance safety.

✦ 台美臨床差異

美國 NCLEX 高度強調 Gait belt(移位帶)的使用;台灣臨床上護理師較常直接攙扶病人腋下或手臂(較不推薦)。

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