# 護理師正在為一位臥床休息的個案執行被動關節活動度運動。哪項技巧是適當的？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397354&lang=zh-tw  
> language: zh-TW  
> subject: Mobility/Immobility  
> category: BCC

## 題目

護理師正在為一位臥床休息的個案執行被動關節活動度運動。哪項技巧是適當的？

## 選項

1. 快速移動每個關節直到出現疼痛。
2. 支撐關節並平順地移動至感到阻力為止。 **✔ 正確答案**
3. 跳過僵硬的關節，以避免記錄不適。
4. 過度伸展每個關節以維持靈活度。

**正確答案: 2**

## 解析

被動關節活動度運動應平順、有支撐，並限制在感到阻力或輕微伸展的程度，而非疼痛。強行施力、過度伸展或跳過僵硬的關節，可能導致傷害或降低活動益處。

## 深入解析

臨床判斷
利用個案線索、時機、檢驗數據和安全風險，選擇最符合被動關節活動度技巧的回應。

記憶提示
將最強的線索群與最安全的護理判斷配對。

KR vs US
NCLEX 考題獎勵基於線索的優先思考，而非孤立的回憶。

## 臨床情境

臨床實務指引
對於被動關節活動度技巧，請將完整的線索模式與個案當前的穩定性、醫囑數據和預期的護理範圍進行比較。

注意事項
當完整情境改變了優先順序或安全性時，不要僅根據單一線索選擇行動。

## 重要概念

- **被動關節活動度** — 當個案無法自行移動時，由他人協助移動關節。
- **關節支撐** — 在移動過程中穩定肢體，以防止拉傷。
- **阻力點** — 活動開始感到僵硬且不應強行施力的點。

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_僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_