— 降低風險 · EASY · MCQ —
病人安排進行腰椎穿刺，護理師應協助病人採取什麼姿勢進行？
A client is scheduled for a lumbar puncture. Which position should the nurse assist the client into for the procedure?
- ALateral recumbent position with knees pulled to the chest✓ 正解側臥位並雙膝彎曲貼近胸部
- BHigh Fowler's position高半坐臥位
- CProne position俯臥位
- DSupine position with legs elevated仰臥位並抬高雙腿
— Explanation · 中文詳解 —
腰椎穿刺（Lumbar puncture）需要最大化腰椎間隙（Intervertebral space），以便醫師能順利將穿刺針穿過韌帶進入蛛網膜下腔（Subarachnoid space）。側臥屈膝抱胸（Lateral recumbent with knees to chest）的姿勢，又稱胎兒姿勢（Fetal position），能有效增加棘突間的距離，減少穿刺阻力並提高成功率，同時能減少病人因身體不穩而移動的風險。
The lateral recumbent position with knees drawn to the chest maximizes the curvature of the spine and opens the intervertebral spaces. This fetal-like posture facilitates needle insertion into the subarachnoid space and minimizes the risk of patient movement during the procedure.