— 基本照護與舒適 · EASY · MCQ —
護理師準備將病人從床移至椅。第一步最重要的動作為何？
A nurse is preparing to transfer a client from bed to chair. Which is the most important first step?
- AAsk a second nurse to help immediately立即要求第二名護理師協助
- BPlace the chair as far as possible將椅子放置在盡可能遠處
- CAssess the client's ability to help✓ 正解評估病人協助的能力
- DLift the client quickly快速搬運病人
— Explanation · 中文詳解 —
在進行任何護理操作前，「評估（Assessment）」永遠是第一步。轉移病人（Transfer）涉及病人安全與護理師的職業安全（防範背部受傷）。護理師必須先評估病人的肌力、平衡感、認知狀態以及是否需要輔助器材（如移位板、吊車）或額外人力。僅憑經驗盲目移動病人極易導致跌倒或護理師職業傷害。在 NCLEX 的臨床思路中，評估是規劃照護計畫的基礎，也是確保安全介入的前提。
Per the nursing process, ASSESSMENT precedes any intervention. Before transferring a client from bed to chair, the nurse must assess the client's strength, balance, cognition, weight-bearing ability, and equipment needs to choose the safest method—solo assist, two-person, gait belt, mechanical lift, etc. Skipping assessment risks patient falls and nurse back injury.