護理師協助病人從床轉移至椅子,病人突然暈厥。護理師應採取哪項優先行動?
A nurse is helping a client transfer from the bed to a chair. The client starts to faint. What is the nurse's priority action?
- AWait for the client to regain consciousness before moving待病人恢復意識後再移動
- BCall for help while holding the client upright在扶著病人保持直立姿勢的同時呼救
- CGently lower the client to the floor using the nurse's leg for support✓ 正解利用護理師腿部支撐,輕輕將病人放倒在地面
- DTry to carry the client back to the bed immediately嘗試立即將病人抱回床上
當病人在轉移過程中出現頭暈或暈厥(Fainting/Syncope),護理師的首要考量是「病人安全(Patient Safety)」,防止因直接倒地造成的頭部外傷或骨折。正確的處置是利用身體力學(Body Mechanics),透過自身的腿部支撐病人,緩慢地將病人順勢滑至地面,而非強行支撐或搬運,以免造成護理師與病人雙雙跌倒。
When a client begins to feel faint or syncopal during a transfer, the nurse's primary concern is patient safety, specifically preventing head trauma or fractures from a direct fall. The correct action is to use proper body mechanics: supporting the client with the nurse's leg, the client should be gently lowered to the floor in a controlled manner, rather than being held upright or carried, in order to prevent both the nurse and the client from falling together.