— 基本照護與舒適 · EASY · MCQ —
護理師協助行動受限的病人下床。哪一項安全措施是優先考慮的？
A nurse is assisting a client with limited mobility to get out of bed. Which safety measure is the priority?
- AEnsuring the bed brakes are locked✓ 正解確認床輪煞車已鎖住
- BPlacing the wheelchair at a 45-degree angle to the bed將輪椅置於與床呈 45 度角的位置
- CHaving the client pivot on their stronger leg讓病人以較強健的腿進行轉身
- DApplying non-skid footwear to the client's feet為病人穿上防滑鞋
— Explanation · 中文詳解 —
確保床體固定是預防跌倒的首要步驟。在病人移動期間，若床具未鎖定而發生滑動，極易造成病人失去重心跌倒。D、B、C 雖亦為重要安全細節，但環境安全性（固定不動的支撐點）在護理執行步驟中優先於個人輔助裝備的調整。
Ensuring that the bed is stabilized is the first step in preventing falls. If the bed is not locked and shifts during patient movement, the patient may easily lose balance and fall. Although D, B, and C are also important safety details, environmental safety (an immobile point of support) takes priority over adjustment of individual assistive devices in the execution sequence of nursing care.
✦ 台美臨床差異
台美臨床對於移位護理技術皆強調「環境安全 > 病人輔助」。