— 基本照護與舒適 · EASY · MCQ —
病人要求護理師協助使用床邊便盆。護理師的優先處置為何？
A client asks the nurse to help them use the bedside commode. What is the nurse's priority action?
- AAsk the client to stand up quickly to improve balance要求病人快速站起以改善平衡
- BProvide the client with a call light and leave the room提供病人呼叫鈴並離開房間
- CPerform an assessment of the client's bowel sounds評估病人的腸鳴音
- DEnsure the brakes on the commode are locked✓ 正解確保便盆車的煞車已鎖住
— Explanation · 中文詳解 —
安全是護理的首要考量。床邊便盆若未固定煞車，病人起身或坐下時極易滑動造成跌倒。快速起身（A）易引發姿勢性低血壓；離開房間（B）會導致無法即時回應跌倒風險。腸鳴音評估（C）雖重要，但非轉移至便盆時的優先安全步驟。
The nurse's priority action is to ensure the safety of the client by locking the commode brakes to prevent it from slipping during use. This immediate environmental safety measure takes precedence over other assessments or actions to minimize the risk of falls.
✦ 台美臨床差異
台美均強調設備安全檢查，美國護理師更嚴格遵循防跌倒指引（Fall Prevention Protocol）。