— 基本照護與舒適 · HARD · MCQ —
護理師照顧一位臥床病人。哪項措施對預防肌肉骨骼併發症最有效？
A nurse is caring for a client who is immobile. Which intervention is the most appropriate to prevent musculoskeletal complications?
- AMaintaining the client in a high-Fowler’s position讓病人維持高福氏臥位
- BEnsuring the client remains in a supine position at all times確保病人始終保持仰臥姿勢
- CPerforming passive range of motion exercises✓ 正解執行被動關節活動運動
- DRestricting fluid intake to minimize toileting needs限制液體攝取以減少如廁需求
— Explanation · 中文詳解 —
長期不動的病人極易產生關節攣縮（Contractures）與肌肉萎縮。主動或被動的全關節活動（ROM）練習能維持關節的活動度和肌肉彈性，這是預防不動併發症（Immobility complications）最有效的護理手段。其他選項如高坐位或長時間仰臥，反而會增加壓瘡或呼吸功能的負擔。
Immobile clients are at high risk for joint contractures and muscle atrophy. Performing passive range of motion exercises is the most appropriate intervention to maintain joint mobility and muscle elasticity, effectively preventing immobility complications. Other positions like prolonged sitting or supine positioning may increase the risk of pressure injuries or respiratory issues.