— 基本照護與舒適 · EASY · MCQ —
護理師協助一位右側中風的病人從床上轉移至椅子,哪項行動最重要?
A nurse is preparing to transfer a client who has had a right-sided stroke from the bed to a chair. Which action is most important?
- AStand on the client's right side during transfer轉移時站在病人右側
- BInstruct the client to lead with the right leg指示病人以右腿領先
- CPlace the chair on the client's left side✓ 正解將椅子放在病人左側
- DPlace the chair on the client's right side將椅子放在病人右側
— Explanation · 中文詳解 —
中風病人轉移時的核心原則是「健側主導,患側保護」。右側中風意味著左側肢體強壯,右側肢體可能無力或偏癱。將椅子放置於左側(健側),病人能利用較強壯的肢體支撐身體重量並引導轉移方向,這能最大程度地利用剩餘功能,並維持轉移過程中的穩定性。若將椅子置於患側,病人必須依賴無力的患側支撐,極易導致平衡喪失而跌倒。
The nurse should place the chair on the client’s strong (left) side to facilitate a safe transfer. This positioning allows the client to use their unaffected limb to bear weight and guide the movement, maximizing stability and minimizing the risk of falling.