— 降低風險 · EASY · MCQ —
護理師協助一位病人進行腰椎穿刺，應採取哪種姿勢以確保安全與舒適？
A nurse is preparing a client for a lumbar puncture. Which position should the nurse assist the client into to ensure safety and comfort?
- ALateral recumbent position with knees drawn to the chest✓ 正解膝部貼胸的側臥姿勢
- BHigh Fowler's position高福勒氏姿勢（半坐臥姿）
- CProne position with a pillow under the abdomen腹部墊枕頭的俯臥姿勢
- DSupine position with the head elevated 30 degrees頭部抬高 30 度的仰臥姿勢
— Explanation · 中文詳解 —
腰椎穿刺需將脊椎間隙拉開，讓醫師更容易進針。側臥彎曲（Lateral recumbent/fetal position）能最大化腰椎間隙，最為安全舒適。俯臥會導致間隙變窄，仰臥或高坐姿則無法有效暴露穿刺點，且容易造成病人不穩定。
The lateral recumbent position with knees drawn to the chest maximizes the separation of the lumbar vertebrae, facilitating needle insertion. This fetal position also enhances client comfort and stability during the procedure. Other positions do not adequately open the intervertebral spaces required for a successful lumbar puncture.
✦ 台美臨床差異
台美臨床對於此姿勢的衛教一致，皆強調維持身體蜷曲角度以協助醫師操作。