— 基本照護與舒適 · EASY · MCQ —
護理師協助行動不便的病人從床轉移至椅子。為確保安全，護理師的首要行動為何？
A nurse is assisting a client with mobility impairment to transfer from bed to chair. Which action is the priority for the nurse to ensure safety?
- AHave the client dangle their legs before standing讓病人在站起前雙腳懸垂於床緣
- BLock the wheels of both the bed and the chair✓ 正解鎖定病床與椅子的輪子
- CApply a gait belt around the client's waist在病人腰部繫上步態帶
- DPlace the chair at a 90-degree angle to the bed將椅子以 90 度角放置於病床旁
— Explanation · 中文詳解 —
確保轉移環境的安全是護理照護的第一步。若床鋪與輪椅未鎖定，位移過程中設備移動會導致病人跌倒。雖然使用步態帶（C）與垂足坐姿（A）是常見安全輔助，但在基礎力學與環境控制中，設備固定是防止意外發生的絕對前提。
Ensuring environmental safety is the first step in transfer care. If bed and chair wheels are unlocked, equipment shifts during transfer can cause falls. While a gait belt (C) and dangling (A) are useful safety aids, locking equipment is the absolute prerequisite mechanical safety measure preventing accidents.
✦ 台美臨床差異
台美臨床皆極度重視轉移安全，但美國醫院常強制要求使用機械式輔助裝置，台灣則多依賴護理師手動攙扶。