— 照護管理 · MEDIUM · MCQ —
護理師觀察到一位護理佐理員（UAP）正在協助術後第一天的人工髖關節置換病人下床。UAP 哪種動作需要護理師立即介入？
A nurse observes an unlicensed assistive personnel (UAP) transferring a client who is post-operative day 1 from a total hip arthroplasty. Which action by the UAP requires immediate intervention?
- AEnsuring the surgical leg remains in neutral alignment確保手術腿保持中立對位
- BAssisting the client to pivot on the operative leg✓ 正解協助病人以手術腿為軸心旋轉
- CEncouraging the client to lean forward while sitting鼓勵病人坐著時身體前傾
- DPlacing an abduction pillow between the client's legs在病人雙腿之間放置外展枕
— Explanation · 中文詳解 —
髖關節置換術後需嚴格遵守預防脫位的規範，包含避免髖關節過度彎曲超過 90 度，以及避免患側負重或旋轉。病人術後初期應採取軸向轉位（log-rolling）或利用輔助器材，直接在患側腳旋轉會導致人工關節脫位，必須立即制止。
After total hip arthroplasty, patients must avoid movements that risk dislocation, such as pivoting on the operative leg. This action places excessive stress on the new joint and requires immediate intervention to ensure prosthetic stability and patient safety.
✦ 台美臨床差異
美國重術後衛教與預防醫學；台灣臨床上 UAP 協助時，護理師常需更密切監督復健姿勢。