— 基本照護與舒適 · MEDIUM · MCQ —
護理師為一位中風左側偏癱的病人進行衛生護理。下列哪項動作正確?
A nurse is performing hygiene care for a client with a stroke who has left-sided hemiparesis. Which action is correct?
- APerform hygiene on the strong side first先清潔健側
- BDress the strong side first先穿健側
- CUndress the weak side first先脫患側
- DAlways dress the weak side first✓ 正解始終先穿患側
— Explanation · 中文詳解 —
協助偏癱病人穿脫衣物遵循『穿健側、脫患側』原則(或可記為穿衣時先穿患側,脫衣時先脫健側)。為了方便操作,穿衣服應優先處理受損側(弱側),這樣之後才好處理健側;脫衣服時應先處理健側,最後再脫患側,以減少對患側肢體的拉扯。
When assisting a client with hemiparesis, the nurse should dress the affected (weak) side first and undress it last. This technique facilitates proper body mechanics and ensures that the stronger, unaffected limb can assist in manipulating the clothing for the weaker side.
✦ 台美臨床差異
這類技術在台灣護理技術考照中為必考重點,美國強調在日常生活訓練(ADL)中讓病人練習。