護理師協助一位行動受限的病人走廊步行，病人突然感到頭暈。護理師的首要行動為何？
A nurse is assisting a client with limited mobility to ambulate in the hallway. The client suddenly reports feeling dizzy. What is the nurse's priority action?
- AAttempt to carry the client back to the room嘗試將病人抱回病房
- BCall for another nurse to assist with walking呼叫其他護理師協助行走
- CGently guide the client to a sitting or lying position on the floor✓ 正解輕柔引導病人坐在或躺在地板上
- DInstruct the client to take deep breaths and walk faster指示病人深呼吸並加快腳步
當病人在活動中出現頭暈（dizziness），最優先的護理目標是預防跌倒（falls）造成的潛在傷害（如骨折、顱內出血）。護理師應立即協助病人降低重心，透過引導其坐下或平躺，能有效預防因暈厥導致的二次傷害。此舉符合「安全優先」（safety-first）的臨床原則，在病人穩定前，不應嘗試繼續移動或強行攙扶回病房，以免病人失去意識導致更嚴重的墜地風險。
When a client reports dizziness during activity, the highest nursing priority is to prevent the potential injury (such as fracture or intracranial bleeding) that could result from a fall. The nurse should immediately help the client lower their center of gravity by guiding them into a sitting or lying position; this effectively prevents secondary injury due to syncope. This action follows the principle of safety first: before the client stabilizes, the nurse should not attempt to continue ambulating or forcibly walk the client back to the room, lest the client lose consciousness and suffer a more severe fall.
台美臨床對於預防跌倒的共識一致，但美國護理環境更強調「護理師不應強行搬運病人」，若病人體重過重，應使用輔助器材或請求團隊協助（Team Lift），避免護理師職業傷害。