— 基本照護與舒適 · EASY · MCQ —
一位活動受限的病人需協助轉位至椅子，護理師採取哪項行動最能保障安全？
A nurse is assisting a client with limited mobility to sit in a chair. Which action best promotes the client's safety?
- ALower the bed to the lowest position將病床降至最低位置
- BLock the wheels of the bed and the chair✓ 正解鎖定病床與椅子的輪子
- CStand in front of the client with a wide base of support站在病人前方並保持寬廣的支撐基底
- DPlace the chair on the client's stronger side將椅子放置在病人較強健的一側
— Explanation · 中文詳解 —
病患轉位（transfer）時的首要考量是預防跌倒（fall prevention）。在進行任何轉移動作前，確保環境穩定是護理安全的核心。將床與椅子固定（lock wheels）可消除設備位移的風險，避免病人在站立或坐下時因家具滑動而失去平衡。此為 NCLEX 測試中常見的安全優先原則（Safety Priority），即在進行動作前先確保環境物理安全。
Preventing falls during patient transfers is a primary safety priority, and ensuring environmental stability is essential. Locking the wheels on both the bed and the chair prevents equipment from sliding, thereby maintaining balance and reducing the risk of injury during the transfer process.