— 基本照護與舒適 · HARD · MCQ —
護理師指導一位病人使用助行器，下列哪項觀察顯示病人使用方式正確？
A nurse is teaching a client about the use of a walker. Which observation indicates the client is using the device correctly?
- AThe client pushes the walker forward, then steps into it✓ 正解病人將助行器向前推，然後跨步入內
- BThe client holds the walker handles with elbows locked病人鎖住手肘握住助行器把手
- CThe client walks with the walker ahead of them, dragging it病人拖著助行器行走
- DThe client lifts the walker after every two steps病人每走兩步後才提起助行器
— Explanation · 中文詳解 —
正確使用助行器的步態是：先將助行器往前放置（約一個腳長距離），接著將患側腳邁入助行器範圍內，最後邁進健側腳。手肘應保持微彎（約 15-30 度）以利緩衝與支撐，不可過度伸展。拖行助行器會造成重心不穩，容易導致跌倒。
Correct walker use involves pushing the device forward and then stepping into it, ensuring stability throughout the gait cycle. The client should maintain slight elbow flexion (15-30 degrees) for support and avoid dragging the walker, which compromises balance and increases fall risk.
✦ 台美臨床差異
美國物理治療師（PT）會詳細評估步態，護理師需複核。台灣護理師常需直接指導家屬正確擺位。