— 基本照護與舒適 · EASY · MCQ —
護理師協助一位術後行動受限的病人進行第一次下床活動。哪項動作展現了正確的技術？
A nurse is assisting a client with limited mobility to ambulate for the first time after surgery. Which action demonstrates correct technique?
- AStanding on the client's stronger side站在病人較強健的一側
- BMoving quickly to prevent the client from falling快速移動以防止病人跌倒
- CHaving the client dangle their legs before standing✓ 正解讓病人在站立前先懸垂雙腿
- DPulling the client up by their arms拉著病人的手臂將其扶起
— Explanation · 中文詳解 —
術後病人因長期平躺，血液分佈改變，突然改變姿勢極易引發姿勢性低血壓（Orthostatic Hypotension）。「床緣坐立（Dangling）」的目的是讓病人的循環系統適應重力變化，穩定血壓後再進行站立。此外，護理師應運用人體力學，站在病人的患側提供支撐，並確保病人有良好的抓握點，而非透過拉扯手臂來協助，以免造成病人的肩關節受傷。
Having the client dangle their legs at the bedside allows the circulatory system to adjust to gravity, preventing orthostatic hypotension before standing. This step ensures hemodynamic stability, after which the nurse should assist the client using proper body mechanics and a gait belt rather than pulling on their arms.