— 基本照護與舒適 · EASY · MCQ —
護理師協助行動受限的病人進行床上擦澡。確保病人安全的首要考量為何？
A nurse is assisting a client with mobility limitations to perform bed baths. What is the priority consideration to ensure client safety?
- AKeep the call light within the client's reach確保呼叫鈴在病人觸手可及之處
- BRaise the bed to a comfortable working height✓ 正解將床墊調整至舒適的工作高度
- CEnsure the side rails are down for easy access放下床欄以便操作
- DMaintain the client's privacy by closing the curtain拉上窗簾以維護病人隱私
— Explanation · 中文詳解 —
人體工學原則是護理安全的核心。將床調整至正確工作高度可防止照護者發生下背痛並提供穩定支撐。C 選項會增加病人跌落風險；D 與 A 雖然重要，但 B 選項直接關係到操作過程中的物理安全與護理師的職業傷害預防。
Raising the bed to a comfortable working height is the priority safety measure to prevent caregiver back strain and ensure proper body mechanics during care. While keeping the call light accessible and maintaining privacy are important, ergonomic positioning directly reduces the risk of injury to both the nurse and the client during the procedure.
✦ 台美臨床差異
台美均強調人體工學，但在美國醫院多設有升降床電動設備，台灣部分長照機構仍需注意手搖床操作時的角度。