護理師準備將一位可部分負重的病人從床上移位至椅子。為了病人安全，首要措施為何？
A nurse is preparing to transfer a client who can bear partial weight from the bed to a chair. Which action is the priority for client safety?
- ALock the wheels on both the bed and the chair✓ 正解鎖定床和椅子的輪子
- BPerform the transfer as quickly as possible to avoid fatigue盡快完成轉移以避免疲勞
- CPlace the chair on the client's weaker side將椅子置於病人較弱的一侧
- DInstruct the client to put their arms around the nurse's neck指示病人將手臂環繞護理師的脖子
在所有移位與搬運（Transfer）操作中，環境安全永遠是第一優先。固定床輪與輪椅/椅子的輪子是防止意外滑動、造成病人跌倒的最基本動作。若設備未固定，當病人重心轉移時，椅子一旦後退，病人便會直接摔落。選項 C 錯誤，椅子應放在健側以利支撐；D 選項會造成護理師頸椎受傷且不穩定；B 選項過快動作會導致病人姿位性低血壓或恐慌。護理的核心邏輯是「穩定基礎，再行移位」。落實安全鎖扣是護理師不可忽視的職業習慣，也是醫療事故防範的基石。
Locking the wheels on both the bed and the chair is the priority safety measure because it stabilizes the equipment and prevents unintended movement during the transfer. This action significantly reduces the risk of falls, which is the primary concern when a client bears partial weight. Other actions, such as placing the chair on the stronger side or avoiding rapid movements, support safety but depend on having a stable base first.
美國 NCLEX 非常強調「利用病人現有能力」與「護理師身體力學」。在台灣，由於病房擁擠，椅子有時難以擺放在健側，但「鎖定輪子」是全球通用的核心安全評分項，必須絕對遵守。