護理師協助術後活動受限的病人首次坐到床緣。為確保安全,哪項行動是優先事項?
A nurse is assisting a client with limited mobility to sit at the edge of the bed for the first time after surgery. Which action is the priority to ensure safety?
- AEnsure the bed is locked and in the lowest position✓ 正解確保床輪已鎖定且床處於最低位置
- BPlace a gait belt securely around the client's waist在病人腰部牢固地綁上步態帶
- CAssess the client for dizziness or lightheadedness評估病人是否有頭暈或頭重腳輕的感覺
- DDangle the client's legs for a few minutes before standing在站立前讓病人雙腿懸垂幾分鐘
在護理安全管理中,物理環境的穩定性是執行任何病人移動(Transfer)的首要條件。當病人從臥姿轉為坐姿,必須先確保病床處於固定且高度適中的狀態,以防止床鋪在病人起身時滑動導致跌倒。這屬於基礎照護中的「環境安全(Environmental Safety)」範疇,必須在進行任何臨床評估或輔助行動前完成。
Flushing medications is generally discouraged because most drugs are not fully removed by wastewater treatment and can contaminate water sources. While a few specific high-risk drugs may be flushed per FDA guidelines, patients should primarily use take-back programs or mix drugs with unpalatable substances like coffee grounds for disposal.
美國醫院對床鋪鎖定與高度有嚴格的品質指標(Quality Indicators)要求,護理師在進入病房時通常會執行『床邊交班(Bedside Handoff)』,隨時確認床鎖狀態,這在美國臨床評鑑中是病患安全的核心項目。