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基本照護與舒適 · EASY · MCQ

護理師準備協助一位中風導致左側偏癱的高齡病人從床上移動至椅子。護理師應將椅子放置於何處?

A nurse is preparing to transfer an older adult client from the bed to a chair. The client has weakness on the left side due to a recent stroke. Where should the nurse position the chair?

  • AAt a 45-degree angle to the bed on the client's right side✓ 正解
    置於個案右側(健側),與床呈 45 度角
  • BParallel to the bed on the client's right side
    置於個案右側(健側),與床平行
  • CAt a 45-degree angle to the bed on the client's left side
    置於個案左側(患側),與床呈 45 度角
  • DParallel to the bed on the client's left side
    置於個案左側(患側),與床平行
Explanation · 中文詳解

中風偏癱病人轉位時,輪椅應放置於「健側」(unaffected side) 並與床呈 45 度角。本題病人左側無力,故椅子應放在右側(健側)並 45 度角。讓病人主導用健側支撐力轉位,可降低跌倒風險與保護患側肢體。其他選項:D 平行於患側、C 角度朝向患側都會讓病人轉位時依賴無力的患側;D 平行於健側雖然部位對但角度不正確(45 度角為人體工學最有利轉位的角度)。

When transferring a stroke client with hemiplegia, the wheelchair should be placed on the unaffected side at a 45-degree angle to the bed. In this question the client has left-sided weakness, so the chair should be placed on the right (unaffected) side at a 45-degree angle. Allowing the client to bear weight on the unaffected side during the transfer reduces the risk of falls and protects the affected limb. The other options: A places the chair parallel to the affected side, and C orients it toward the affected side, both of which force the client to rely on the weak side during transfer; D places the chair parallel to the unaffected side, which is the correct side but at an incorrect angle (45 degrees is the most ergonomically advantageous angle for transfer).

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