— 安全與感染控制 · HARD · MCQ —
護理師指導實習護生關於約束帶使用，哪一句話表示實習生已了解？
A nurse is teaching a student nurse about restraint application. Which statement by the student indicates understanding?
- AI will tie the restraint with a quick-release knot✓ 正解我會使用快速解開結來綁紮約束帶
- BI will keep the restraints on until the client is calm我會將約束帶保持在病人安靜之前
- CI will perform neurovascular checks every 4 hours我會每 4 小時執行一次神經血管檢查
- DI will tie the restraint to the side rail of the bed我會將約束帶綁在床欄上
— Explanation · 中文詳解 —
約束帶必須綁在床架（Frame）而非護欄（Side rail），因為護欄會移動。神經血管評估應至少每 2 小時一次。使用快解結（Quick-release knot）是安全標準，以便緊急狀況下迅速解開。約束應定時評估是否可移除，而非等到特定時間。
Restraints must be secured with a quick-release knot to allow for immediate removal in emergencies and tied to the bed frame, not movable side rails. Neurovascular assessments should be conducted every 1 to 2 hours, and restraints require regular reassessment for continued necessity.
✦ 台美臨床差異
美國採取極度嚴謹的約束政策（需醫囑、頻繁更新）；台灣臨床在病患躁動時常由護理師先執行，後續再補醫囑。