— 基本照護與舒適 · EASY · MCQ —
護理師正教導一位右側無力的病人如何使用手杖。護理師應包含下列哪項指導？
A nurse is teaching a client with right-sided weakness how to use a cane. Which instruction should the nurse include?
- AHold the cane in the right hand.將手杖握在右手。
- BKeep the elbow straight when holding the cane.握持手杖時保持手肘伸直。
- CHold the cane in the left hand.✓ 正解將手杖握在左手。
- DAdvance the left leg first, followed by the cane.先移動左腿，然後再移動手杖。
— Explanation · 中文詳解 —
手杖應握於強健側（左側），以增加支撐基底並維持平衡。口訣為 COAL (Cane Opposite Affected Leg)。行走時，手杖應與弱側腿同時跨出。手杖高度應使肘部微屈約 15-30 度，而非伸直。
The nurse should instruct the client to hold the cane in the stronger hand (left side) to provide optimal support and balance for the weakened side. The cane and the affected leg should advance simultaneously, with the elbow flexed 15 to 30 degrees for proper height adjustment.
✦ 台美臨床差異
美國 NCLEX 強調 COAL 原則與物理治療師的協作；台灣臨床衛教內容一致，但常由護理師而非物理治療師進行初步評估。