— 安全與感染控制 · MEDIUM · MCQ —
病人於行走時自覺頭暈，護理師採取下列何項措施最合適？
Which action is most appropriate when a client complains of feeling faint while ambulating?
- AInstruct the client to hurry back to the bed指示客戶趕快回到床上
- BImmediately call for assistance立即尋求協助
- CLower the client to the floor using a wide base of support✓ 正解利用寬基底支撐將客戶緩慢降至地面
- DAsk the client to stand still until the feeling passes請客戶原地站著直到感覺消失
— Explanation · 中文詳解 —
當病人於行走中出現暈厥感（faintness），首要臨床目標是預防跌倒（fall prevention）造成的頭部創傷或骨折。護理師應立即介入，採取「引導式滑降」策略，利用自身的身體力學（body mechanics）將病人緩慢移至地面，而非強行支撐或移動。這不僅保護病人，也能避免護理師因過度負重而受傷。
When a client experiences faintness during ambulation, the foremost clinical goal is to prevent head trauma or fractures from a fall. The nurse should intervene immediately, using guided lowering with proper body mechanics to ease the client gradually to the floor rather than supporting or moving the client by force. This both protects the client and prevents nurse injury from overexertion.