護理師正在協助一位右側肢體無力的病人使用助行杖行走。下列哪項護理措施是正確的？
A nurse is assisting a client who has right-sided weakness with walking using a cane. Which action by the nurse is appropriate?
- AInstruct the client to hold the cane in the right hand.指示病人將手杖握在右手
- BInstruct the client to move the cane and the left leg together.指示病人將手杖與左腿一起移動
- CEnsure the cane is moved forward about 6 to 10 inches with each step.✓ 正解確保每次跨步時手杖向前移動約 6 至 10 英吋
- DStand on the client's left side during ambulation.在病人行走時站在病人的左側
使用單手助行杖的核心原則在於維持平衡與負重分配。首先，助行杖應握在「強健側」（左手），這能與弱側腿（右腿）形成支點，維持重心穩定。行走時，應先將助行杖向前移 6 到 10 英吋（約 15-25 公分），接著移動弱側腿（右腿）至助行杖水平，最後才移動強健側腿。護理師應站在病人的「患側」（右側）提供支持，以防跌倒。此題考查基本的輔具安全操作，確保病人在行走過程中始終有兩點或三點接觸地面，防止重心偏移造成意外跌傷。
When assisting a client with right-sided weakness, the nurse should ensure the cane is moved forward approximately 6 to 10 inches to provide a stable base of support. The cane should be held on the strong (left) side, and the nurse should stand on the client's affected (right) side to offer protection against falls.
在美國，物理治療師（PT）負責初始步態訓練，護理師負責強化與日常監督；台灣臨床上護理師往往需承擔更多輔具衛教工作。此外，美國強調「患側保護」站位，台灣部分教材曾強調護理師站位需視空間而定，但執照考試皆以患側保護為準。