— 基本照護與舒適 · EASY · MCQ —
護理師協助活動受限的病人下床。為確保病人安全，下列哪項措施為最高優先？
A nurse is assisting a client with limited mobility to get out of bed. Which action is the highest priority for ensuring client safety?
- AEnsuring the bed brakes are locked✓ 正解確保床煞已鎖定
- BAssessing the client's muscle strength before transfer在轉移前評估病人的肌肉力量
- CInstructing the client to dangle legs at the bedside before standing指示病人在站立前於床邊懸垂雙腿
- DPlacing a gait belt around the client's waist將步態帶圍繞在病人腰部
— Explanation · 中文詳解 —
病患安全首重環境風險控制，防止跌倒（Fall prevention）是護理師的基本職責。在協助活動受限病人下床時，若病床未鎖定，病床在轉移位過程中可能滑動，導致嚴重跌倒意外。相較於其他措施，鎖定床煞（Locking bed brakes）是物理環境安全的基礎，必須在任何護理介入前先行確認，以確保所有設備的穩定性。
Locking the bed brakes is the highest priority safety measure to prevent the bed from moving during transfers, which could cause falls. While assessing strength, dangling legs, and using a gait belt are important, ensuring a stable environment is the foundational step for safe patient handling.