— 降低風險 · EASY · MCQ —
護理師照護一位準備進行腰椎穿刺的病人，該執行哪種臥位以利程序進行？
A nurse is caring for a client undergoing a lumbar puncture. Which nursing position should the nurse assist the client into for the procedure?
- AProne position俯臥位
- BSemi-Fowler's position半坐臥位
- CSupine position with legs elevated抬腿仰臥位
- DLateral recumbent position with knees pulled up to the abdomen✓ 正解膝蓋收攏至腹部的側臥位
— Explanation · 中文詳解 —
腰椎穿刺（lumbar puncture）的目的是採集腦脊髓液（CSF）或測量壓力。為了使腰椎棘突間隙擴大，減少穿刺阻力，病人必須採取側臥位（lateral recumbent），並將膝蓋儘量屈曲靠近腹部，下巴靠近胸部，使背部呈現弓形（類似蝦子姿勢）。此姿勢能最大化椎間隙的空間，是確保程序成功與減少病人不適的關鍵。
For a lumbar puncture, the client should be positioned in lateral recumbency with knees drawn up to the abdomen and chin tucked to the chest. This fetal-like posture maximizes the space between the lumbar vertebrae, facilitating needle insertion and reducing resistance. Proper positioning is essential for procedural success and client comfort.