— 基本照護與舒適 · HARD · MCQ —
護理師準備協助一位「不可負重」的病人從床上移位至椅子，第一步應做什麼？
A nurse is preparing to transfer a non-weight-bearing client from bed to chair. What should the nurse do first?
- AAssess the client's weight and ability to assist✓ 正解評估病人的體重及協助能力
- BApply a gait belt around the client's waist在病人腰部綁上移位腰帶
- CLift the client under the arms從腋下抬起病人
- DPlace the chair at a 90-degree angle to the bed將椅子置於與床呈90度角的位置
— Explanation · 中文詳解 —
進行任何移位操作前，護理師的首要步驟是評估病人的現況，包括體重、認知程度、合作意願及「不可負重」的醫囑要求。若病人不可負重，必須使用適當器材（如起重機）而非人工搬運，評估是確保安全與選擇正確器材的關鍵。
Assessment is the first step in the nursing process and is critical when transferring a non-weight-bearing client to determine their weight, cognitive status, and ability to assist. This evaluation ensures the nurse selects the appropriate equipment and technique to maintain safety, rather than proceeding directly to positioning or applying support devices.
✦ 台美臨床差異
美國非常強調使用機械輔助移位以防止護理師背傷；台灣臨床常因機械數量不足而仰賴人工搬運。