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基本照護與舒適 · HARD · MCQ

對於脊髓損傷病人,使用「軸向翻身法」(Log-roll)的主要目的是什麼?

What is the primary purpose of a 'Log-roll' technique when repositioning a client with a spinal injury?

  • ATo keep the spine in perfect alignment✓ 正解
    保持脊椎完美對齊
  • BTo check the skin under the back
    檢查背部下方的皮膚
  • CTo allow the client to breathe better
    讓病人呼吸更順暢
  • DTo save the nurse's back muscles
    節省護理師的背部肌肉
Explanation · 中文詳解

對於脊髓損傷病人,翻身最重要的原則是維持脊椎軸向的一致性(Alignment)(A),避免任何扭轉(Twisting)動作造成二度神經損害。使用「軸向翻身法」(Log-roll)確保頭、頸、軀幹同時移動。雖然軸向翻身可減輕護理師背部負擔(D),但這非其醫學主要目的。呼吸(C)與皮膚檢查(B)虽是目標,但軸向翻身是為了保護脊髓。

For a client with a spinal injury, the most important principle of turning is to maintain spinal alignment (A) and avoid any twisting motion that could cause secondary neurologic damage. The log-roll technique ensures that the head, neck, and trunk move as one unit. Although log-rolling does ease strain on the nurse's back (D), this is not its primary clinical purpose. Improving breathing (C) and assessing the skin (B) are secondary benefits, but the log-roll itself exists to protect the spinal cord.

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