— 基本照護與舒適 · EASY · MCQ —
護理師協助行動不便的病人從床轉移至椅子，哪項措施是確保安全的核心優先事項？
A nurse is assisting a client with mobility limitations in transferring from the bed to a chair. Which action is the priority to ensure safety?
- AStand on the client's stronger side during the move在轉移過程中站在病人較強健的一側
- BLock the wheels on both the bed and the chair✓ 正解鎖定床與椅子的輪子
- CInstruct the client to look down at their feet指示病人低頭看腳
- DPlace the chair on the client's stronger side將椅子置於病人較強健的一側
— Explanation · 中文詳解 —
病人轉移位（Transfer）時，確保設備穩定是安全的首要條件，因為移動過程中若床或椅子滑動，極易造成跌倒。鎖定所有設備的輪子是 NCLEX 考試中關於安全（Safety）領域的絕對優先事項（Priority）。除了設備鎖定外，護理師在協助移動時應運用正確的人體力學，並鼓勵病人參與以維持其自主性。Look down 會導致重心前傾，增加平衡失調的風險，應引導病人看向前方以維持身體穩定。
Locking the wheels on both the bed and the chair is the priority action to ensure safety during a transfer, as it stabilizes the equipment and prevents sliding. This fundamental step minimizes the risk of falls before any movement occurs. Additionally, instructing the client to look forward rather than down helps maintain proper body alignment and balance.