護理師協助行動不便的病人進行床椅轉移。為確保安全，下列哪項措施最正確？
A nurse is assisting a client with mobility limitations to perform bed-to-chair transfers. What is the most appropriate action to ensure safety?
- ALock the wheels of both the bed and the chair✓ 正解鎖定病床與輪椅的滾輪
- BInstruct the client to hold onto the nurse's neck for stability指示病人抓住護理師的脖子以維持穩定
- CStand on the client's stronger side to provide support站在病人較強健的一側以提供支撐
- DPlace the chair at a 90-degree angle to the bed將輪椅與病床呈90度角放置
床椅轉移的核心在於預防跌倒（Fall Prevention）。在轉移過程中，任何設備（病床或輪椅）的非預期移動都可能導致病人重心不穩而跌倒。鎖定所有滾輪（Locking wheels）是確保環境安全的基本護理行動（Nursing intervention）。臨床思路應遵循安全第一原則，在任何移動操作前，必須先建立穩定的支撐基礎。
The core of a bed-to-chair transfer is fall prevention. During the transfer, unexpected movement of either the bed or the wheelchair can destabilize the client and cause a fall. Locking the wheels of both is a basic nursing intervention to ensure environmental safety. Clinical reasoning follows the safety-first principle: a stable base of support must be established before any movement.
在美國臨床環境中，護理師極度強調使用轉移帶（Gait belt）來協助病人轉移，以保護病人安全並預防護理師背部損傷。台灣臨床實務中，對於轉移帶的使用普及率較低，常見直接攙扶，但在 NCLEX 考試中，必須選擇使用轉移帶或正確的力學姿勢。