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檢視個案的漸進式活動時間表，並判斷護理師應如何安全地進展活動。

Trend

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Time	Data
Hospital day 4, supine	Afebrile, SpO2 95% on room air, BP 126/72 mm Hg, HR 84/min. The client needs help to sit and says the legs feel weak after several days in bed.無發燒，室內空氣下 SpO2 95%，血壓 126/72 mm Hg，心跳 84 次/分。個案需要協助才能坐起，並表示臥床數日後雙腿感覺無力。
First standing trial	With gait belt and assistance, BP falls to 98/58 mm Hg and HR rises to 112/min. The client becomes dizzy and pale. The nurse returns the client safely to sitting.使用步態帶及協助下，血壓降至 98/58 mm Hg，心跳升至 112 次/分。個案出現頭暈及臉色蒼白。護理師安全地讓個案恢復坐姿。
Later after reassessment	The client tolerates dangling, standing, and transfer to a chair in stages. BP is 116/68 mm Hg, HR 94/min, and no dizziness occurs. The prescribed walker and one-person assist are used.個案分階段耐受床邊坐起、站立及移至椅子。血壓為 116/68 mm Hg，心跳 94 次/分，無頭暈。使用醫囑指定的助行器及一人協助。

Q1. How should the nurse interpret the overall mobility trend?護理師應如何解讀整體活動趨勢？

The client has permanent inability to ambulate個案永久喪失行走能力 Deconditioning with initial orthostatic intolerance that improves with staged assisted mobility體能衰退伴隨初期姿勢性不耐受，經分階段輔助活動後改善 The client can walk independently because oxygen saturation is normal因血氧飽和度正常，個案可獨立行走

Q2. What was the priority response during the first standing trial?第一次站立試驗時的優先處置為何？

Continue walking so the client adapts more quickly繼續行走，讓個案更快適應 Leave the client standing while obtaining another blood-pressure cuff讓個案繼續站立，同時去拿另一個血壓壓脈帶 Stop the progression, protect the client from falling, return to sitting or supine, and reassess停止進展，保護個案避免跌倒，恢復坐姿或平躺，並重新評估

Q3. Which plan is appropriate after the later stable response?在稍後反應穩定後，哪一項計畫是適當的？

Resume strict bed rest for the remainder of admission剩餘住院期間恢復嚴格臥床休息 Allow unassisted hallway walking immediately立即允許無人協助的走廊行走 Use a wheelchair for all activity even if tolerance improves即使耐受性改善，所有活動仍使用輪椅 Continue graded mobility with the prescribed device, assistance, and symptom-based stop criteria繼續分級活動，使用醫囑指定的輔具、協助及以症狀為基礎的停止標準

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