# 護理師正準備將一位82歲的個案從床上轉移到床邊便盆椅。個案有輕度下肢無力且使用助行器。護理師應採取哪三項措施以降低跌倒風險？請選擇三項。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=505799&lang=zh-tw  
> language: zh-TW  
> subject: Basic Care and Comfort  
> category: BCC

## 題目

護理師正準備將一位82歲的個案從床上轉移到床邊便盆椅。個案有輕度下肢無力且使用助行器。護理師應採取哪三項措施以降低跌倒風險？請選擇三項。

1當個案在床緣坐直時，評估是否有頭暈情形。
2在轉移過程中讓個案穿著防滑襪。
3在轉移前將助行器放在個案伸手可及之處。
4清除床與便盆椅之間通道的雜物。
5指導個案抓住護理師的手臂以獲得支撐。
6快速進行轉移以減少站立時間。
7在轉移過程中站在個案後方。
8等待第二位工作人員協助轉移。

## 解析

當個案坐直時評估頭暈情形，可評估姿勢性低血壓，這是常見的跌倒風險。將助行器放在伸手可及之處，確保個案能立即使用輔助設備，促進穩定性。清除通道可移除可能導致絆倒的環境危險。防滑襪在某些地面上可能滑溜，不如合適的鞋子安全；個案應穿著合腳且防滑的鞋子。指導個案抓住護理師的手臂可能導致雙方失去平衡；護理師應使用步態腰帶和適當的身體力學。快速轉移會增加跌倒風險；轉移應緩慢且受控地進行。站在個案後方無法提供最佳支撐；護理師應站在個案側邊或稍前方。等待第二位工作人員對於使用助行器的輕度無力個案並非必要；護理師可單獨安全協助。

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