— 降低風險 · MEDIUM · MCQ —
護理師準備轉移一位髖關節骨折的病人。下列哪項是優先考慮的重點?
A nurse is preparing to transfer a client who has a hip fracture. What is the priority concern?
- AMoving the client as quickly as possible盡快移動病人
- BMaintaining proper body alignment✓ 正解維持正確的姿勢排列
- CEnsuring the client remains on the affected side確保病人保持在患側臥位
- DHaving only one person assist the transfer僅由一人協助轉移
— Explanation · 中文詳解 —
髖關節骨折(Hip fracture)病人的轉移必須以維持身體正確排列(Alignment)為最高原則,以防止骨折部位移位或造成周圍軟組織、血管、神經的二次損傷。轉移時應採取整體移動(Log-rolling)技術,動作需協調且緩慢。單人操作容易導致受力不均,且快速移動會增加疼痛感與骨折移位風險。維持患側穩定並避免不當扭轉是照護的首要目標。
Maintaining proper body alignment is the priority concern to prevent displacement of the fracture and avoid secondary injury to surrounding tissues, vessels, and nerves. Techniques such as log-rolling should be used to ensure coordinated, slow movements, whereas rapid or uneven handling increases pain and the risk of further damage.