— 安全與感染控制 · MEDIUM · MCQ —
護理師指導實習護生關於約束安全，下列敘述何者正確？
A nurse is teaching a student nurse about restraint safety. Which statement is correct?
- ARestraints should be tied to the side rail約束帶應綁在床欄上
- BCheck the client's neurovascular status every hour✓ 正解每小時檢查病人的神經血管狀態
- CA physician's order for restraints is valid for 48 hours醫師的約束醫囑有效期為48小時
- DUse the tightest knot possible for security使用最緊的結以確保安全
— Explanation · 中文詳解 —
身體約束（Restraints）屬於限制病人自主權的措施，僅在病人對自己或他人造成立即危險時才使用。約束的護理重點在於確保安全與預防併發症，如壓瘡、神經損傷或循環障礙。護理師必須嚴格遵循醫院政策，定期評估神經血管狀態（Neurovascular status），並確保約束帶綁在床框（Bed frame）上而非床欄（Side rails）。
Nurses must monitor the client's neurovascular status hourly while in restraints to prevent complications like nerve damage or impaired circulation. Restraints should always be secured to the bed frame, not the side rails, to ensure safety.