護理師協助行動不便的病人下床。哪項措施是確保安全的最高優先級？
A nurse is assisting a client with limited mobility to get out of bed. Which action is the highest priority to ensure the client's safety?
- APlacing non-skid footwear on the client為客戶穿上防滑鞋
- BAssessing the client for orthostatic hypotension評估客戶是否有姿勢性低血壓
- CObtaining assistance from another staff member尋求其他工作人員的協助
- DLocking the wheels of the bed✓ 正解鎖定病床輪子
病人的安全是護理工作的最高指導原則。在協助任何行動不便的病人進行轉位（Transfer）或下床活動前，確保環境設備的穩定性是第一步。鎖定病床輪子（Locking the wheels）能預防病床在病人負重起身時發生位移，這是物理性跌倒預防的最基礎要求。雖然其他選項也是評估與準備的一部分，但依照護理優先級，環境安全必須優先於個體評估。
Client safety is the overriding principle in nursing practice. Before assisting any mobility-impaired client with a transfer or getting out of bed, ensuring that the environment and equipment are stable is the first step. Locking the wheels of the bed prevents the bed from shifting when the client bears weight, and it is the most fundamental requirement of physical fall prevention. While the other options are also part of assessment and preparation, environmental safety must take precedence over individual assessment in the order of nursing priorities.