護理師協助全髖關節置換術後的病人首次離床轉位至椅子上，下列何者為最合適的護理措施？
A nurse is preparing to transfer a client from the bed to a chair for the first time following a total hip arthroplasty. What is the most appropriate action by the nurse?
- AInstruct the client to keep the operative hip flexed at 90 degrees指示病人保持手術側髖關節屈曲 90 度
- BPosition the chair at a 90-degree angle to the bed將椅子以 90 度角放置在床旁
- CPivot the client on the operative leg during the transfer在轉移過程中讓病人以手術側腿為軸心旋轉
- DEnsure the client places weight on the non-operative leg during the move✓ 正解確保病人在移動過程中將重量放在非手術側腿上
髖關節置換術後預防脫位是核心護理。正確轉位應盡量利用患側不負重或限制負重，依靠健側肢體支撐。C 錯誤，旋轉患側會導致脫位；A 錯誤，術後嚴禁髖關節過度屈曲超過 90 度；D 建議將椅子平行或輕微斜放於健側，而非 90 度角，以利移動。
Preventing dislocation is the central concern after hip arthroplasty. Safe transfer minimizes weight bearing on the operative leg and uses the non-operative leg for support. Pivoting on the operative leg (C) causes torque that can dislocate the prosthesis; flexing the operative hip beyond 90 degrees (A) is contraindicated; the chair should be positioned on the client's non-operative side—not at a 90-degree angle (B)—to facilitate a safe transfer.
美國物理治療師與護理師對體位限制的衛教流程一致；台灣臨床上物理治療師介入時間可能較晚，護理師需負擔大部分復健協助。