— 降低風險 · EASY · MCQ —
護理師正在教導病人使用助行器。病人採取哪項行動表示已理解教學？
A nurse is teaching a client about the use of a walker. Which client action indicates understanding of the teaching?
- ASteps forward with the affected limb before the walker在助行器之前先讓患肢向前邁步
- BMoves the walker forward and then steps forward with the affected leg✓ 正解先移動助行器，然後讓患腿向前邁步
- CHolds the walker by the crossbar for stability握住助行器的橫桿以保持穩定
- DAdvances the walker approximately 12 inches forward將助行器向前推進約 12 英吋
— Explanation · 中文詳解 —
使用助行器（Walker）的正確原則是確保病人與輔具同步移動，以維持重心穩定並減輕患肢負擔。正確的操作順序為：先移動助行器，接著跨出患肢（受傷腳），最後跨出健肢（好腳）。若患肢先於助行器移動，會導致重心不穩增加跌倒風險。臨床上應確認助行器高度與病人髖關節大轉子（Greater trochanter）平齊，且肘關節彎曲角度約 15-30 度。
Proper walker use involves moving the walker forward first, followed by the affected limb, and finally the stronger limb to maintain balance and reduce stress on the injured side. This sequence ensures stability and prevents falls associated with incorrect movement patterns.