— 基本照護與舒適 · MEDIUM · MCQ —
病人有姿勢性低血壓，協助他從床上轉移至椅子時，最安全的方式為何？
A client is experiencing orthostatic hypotension. What is the best way to help the client transfer from the bed to a chair safely?
- AHave the client dangle their legs at the bedside before standing✓ 正解讓病人在站立前將雙腿懸垂於床緣
- BHave the client bend their knees before standing讓病人在站立前彎曲膝蓋
- CStand the client up as quickly as possible盡快讓病人站起
- DHelp the client stand and walk immediately協助病人站起並立即行走
— Explanation · 中文詳解 —
針對姿勢性低血壓病人，擺位的關鍵在於給予循環系統時間調整血壓。讓病人在床緣坐下垂腳（dangling）幾分鐘，可穩定血流、觀察有無頭暈後再站立，是防範跌倒的標準程序。過快站立或立即走動會因血液滯留下肢而導致腦部缺血、暈厥。
To safely manage orthostatic hypotension, clients should dangle their legs at the bedside to allow the cardiovascular system time to adjust to positional changes. This gradual transition helps stabilize blood pressure and reduces the risk of syncope or falls associated with rapid standing.
✦ 台美臨床差異
美國護理強調預防步驟；台灣臨床護理有時因過於忙碌而簡化此步驟，較少讓病人等待足夠的垂腳時間。