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基本照護與舒適 · MEDIUM · MCQ

護理師正在教導病人如何使用手杖。病人哪項敘述表示需要進一步指導?

A nurse is teaching a client how to use a cane. Which statement by the client indicates a need for further teaching?

  • AI will keep two points of support on the ground at all times.
    我會隨時保持兩個支撐點著地
  • BI will hold the cane on my stronger side.
    我會將手杖握在較強健的一側
  • CI will move the cane forward with my weaker leg.
    我會隨著較弱的一側腿部向前移動手杖
  • DI will place the cane on my weaker side to provide support.✓ 正解
    我會將手杖放在較弱的一側以提供支撐
Explanation · 中文詳解

手杖是協助病人維持平衡和增加步行穩定性的輔助工具。正確使用手杖對於預防跌倒、提升病人的行動獨立性至關重要。護理師在教導病人使用手杖時,必須確保病人完全理解並能正確執行相關技巧。手杖的使用原則是將其作為身體的延伸,提供額外的支撐點,並減輕受傷或較弱肢體的負擔。 手杖應始終握在身體的健側(stronger side),即與較弱的腿相對的一側。這樣做的目的是利用健側的手臂力量來支撐身體重量,同時將手杖與患側腿同步向前移動,形成一個穩定的三點支撐。若病人將手杖放置於患側,將無法有效提供足夠的支撐力,反而可能增加跌倒的風險。因此,當病人表示「我會將手杖放在較弱的一側以提供支持」時,即表示對手杖使用原則有誤解,需要進一步的指導和示範。

A cane is an assistive device that helps the client maintain balance and increase ambulation stability. Proper cane use is essential to prevent falls and enhance independence. When teaching cane use, the nurse must ensure the client fully understands and can correctly perform the relevant techniques. The principle of cane use is to treat the cane as an extension of the body, providing an additional support point and reducing the load on the injured or weaker limb. The cane should always be held on the stronger side of the body, opposite the weaker leg. The purpose is to use the strength of the unaffected arm to support body weight while moving the cane forward simultaneously with the weaker leg, forming a stable three-point support. If the client places the cane on the affected side, it cannot provide sufficient support and may actually increase the risk of falling. Therefore, when the client states 'I will place the cane on my weaker side to provide support,' it indicates a misunderstanding of cane use and further teaching and demonstration are needed.

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