— 基本照護與舒適 · HARD · MCQ —
脊椎手術後的病人需要執行「原木翻身」。護理師的哪項操作是正確的？
A client requires logrolling after spinal surgery. Which action by the nurse is correct?
- APerform the procedure with a single nurse to maintain consistency.由單一護理師執行此程序以保持一致性
- BTurn the client's head first, then the shoulders and hips.先轉動病人頭部，然後是肩膀和臀部
- CPlace a pillow between the client's knees before turning.✓ 正解在轉動前將枕頭置於病人膝蓋之間
- DAsk the client to reach for the side rail to assist.請病人伸手抓住床欄以協助翻身
— Explanation · 中文詳解 —
原木翻身的核心是維持脊椎呈一條直線，避免扭轉。在雙膝間放置枕頭（C）可防止大腿內收導致的脊柱扭曲。翻身時應由多位工作人員同步移動肩、腰、臀部，不可讓病人自行抓扶手助力（會導致扭轉），也不可分段旋轉（B 錯誤）。
Logrolling maintains spinal alignment by moving the head, shoulders, and hips as a single unit to prevent twisting. Placing a pillow between the client's knees prevents hip adduction, which could otherwise cause spinal rotation during the turn.
✦ 台美臨床差異
美國 NCLEX 考題中，「安全」與「同步」是此技術的最高原則；台灣臨床有時因人力不足導致執行不夠標準，需特別注意。