— 基本照護與舒適 · MEDIUM · MCQ —
護理師在協助病人行走時,病人突然感到頭暈並開始跌倒。護理師應採取何種動作?
A nurse is assisting a client with ambulation who suddenly feels dizzy and begins to fall. Which action should the nurse take?
- AQuickly move the client toward a chair to have them sit迅速將病人移向椅子使其坐下
- BAttempt to catch the client to prevent them from hitting the floor嘗試攔截病人以防止其摔倒在地
- CStep behind the client, spread legs, and guide the client down to the floor✓ 正解站在病人背後,雙腳張開,引導病人緩慢滑下至地面
- DCall for help immediately while holding the client upright在扶著病人保持直立的同時立即尋求協助
— Explanation · 中文詳解 —
病人跌倒時的標準護理動作:B. 護理師應「站於病人身後,雙腿張開作為支撐基底,沿大腿引導病人緩慢下滑至地面」——這是 OSHA/CDC 標準的安全姿勢,可同時保護病人與護理師避免肌肉拉傷。錯誤:A. 試圖『接住』病人會造成自身肌肉骨骼傷害且可能讓病人摔得更重;C. 雖然要呼救,但保持病人直立會增加跌倒衝擊;D. 快速移動病人增加跌倒衝擊風險。
The nurse should step behind the client, widen their base of support, and guide the client slowly down the thigh to the floor. This technique minimizes impact force and protects both the client and the nurse from injury, whereas attempting to catch the client or moving them quickly increases the risk of falls and musculoskeletal strain.