— 基本照護與舒適 · MEDIUM · MCQ —
護理師檢查病人的柺杖高度。護理師應確認什麼？
A nurse is checking the fit of a client's crutches. What should the nurse assess?
- AAxilla pad rests tightly against the armpit腋下墊緊貼腋窩
- BCrutches are placed 2 inches in front of the toes柺杖置於腳趾前方 2 英吋處
- C2-3 finger widths between the axilla and crutch pad✓ 正解腋下與柺杖墊之間留有 2-3 指寬的距離
- DElbows are fully extended when standing站立時手肘完全伸直
— Explanation · 中文詳解 —
柺杖（Crutches）正確的使用高度至關重要，目的是保護腋下區域的腋神經（Axillary nerve）與血管，避免因受壓導致神經麻痺或血液循環障礙。正確的測量方式為柺杖頂端墊與腋下保留 2-3 指寬（約 2-5 公分）的空隙。此外，肘部需維持 20-30 度的屈曲，以確保行走時能有效利用手臂力量承重。
Proper height when using crutches is critical to protect the axillary nerve and vessels in the axillary region from compression that could cause nerve palsy or impaired circulation. The correct measurement is a 2-3 finger-width gap (approximately 2-5 cm) between the crutch pad and the axilla. In addition, the elbows should remain flexed 20-30 degrees so the client can effectively use arm strength to bear weight while walking.