— 基本照護與舒適 · EASY · MCQ —
護理師協助行動受限的病人下床。為了預防跌倒，哪項安全措施最重要？
A nurse is assisting a client with limited mobility to get out of bed. Which safety measure is most important to prevent a fall?
- AStand directly in front of the client站在病患正前方
- BApply non-slip footwear before the client stands在病患站起前穿上防滑鞋
- CPlace a gait belt around the client's waist將助行帶圍繞在病患腰部
- DLock the wheels of the bed✓ 正解鎖住床輪
— Explanation · 中文詳解 —
固定病床輪鎖（Lock the wheels）是確保轉移過程中最基礎的防護措施。若病床未鎖定，病人移動時床鋪滑動將直接導致跌倒風險。雖然使用助行帶、穿止滑鞋及護理師的輔助位置都很重要，但確保輔具與環境設備（病床）的穩定性是執行轉移護理的第一步。
Locking the wheels of the bed is the most fundamental safeguard during transfer. If the bed is not locked, the bed will slide as the client moves, directly leading to a fall risk. Although the use of a gait belt, nonskid footwear, and the nurse's positioning are all important, ensuring the stability of assistive equipment and the environment (the bed) is the first step in performing a safe transfer.
✦ 台美臨床差異
美台臨床皆重視病床輪鎖，但美國機構評鑑（Joint Commission）對環境安全稽核更嚴格，常要求護理師口頭複誦安全步驟。