— 基本照護與舒適 · EASY · MCQ —
護理師協助行動受限的病人從床上轉移至椅子，哪項動作是確保安全的首要措施？
A nurse is assisting a client with limited mobility to transfer from the bed to a chair. Which action is the priority to ensure safety?
- ALocking the wheels of the bed and the chair鎖定病床與椅子的輪子
- BAssessing the client's strength and ability to assist✓ 正解評估病人的肌力與協助能力
- CDangling the client's legs on the bedside讓病人雙腳懸垂於床緣
- DPlacing a gait belt around the client's waist將步態帶圍繞在病人腰部
— Explanation · 中文詳解 —
轉移病人的首要原則是「評估病人的協助能力」。在執行任何轉移動作前，必須確認病人能給予多少支持，這決定了護理師應採取何種轉移技巧（如：是否需要移位機、是否需兩名護理師協助）。若未評估即開始轉移，極易導致病人跌倒或護理師因施力不當而受傷。其他步驟如鎖定輪子、使用步態帶（Gait belt）均是後續安全防護的一部分。
The priority action is to assess the client's strength and ability to assist, as this determines the appropriate transfer technique and level of assistance required. Conducting this assessment first ensures safety by preventing falls or injury to both the client and the nurse, whereas equipment preparation and positioning are subsequent steps.