— 基本照護與舒適 · EASY · MCQ —
一位有跌倒病史的病人，下列何項護理措施最恰當？
A nurse is caring for a client with a history of falls. What is the most appropriate nursing intervention?
- AApply physical restraints to prevent movement施加物理約束以防止移動
- BSedate the client to keep them quiet鎮靜病人以保持安靜
- CPlace the client in a room close to the nurses' station✓ 正解將病人安置在靠近護理站的房間
- DKeep the client on bed rest at all times讓病人始終臥床休息
— Explanation · 中文詳解 —
針對跌倒高風險病人，安置於護理站旁（Near nursing station）可提升觀察力，讓護理師能即時提供協助，且不限制病人活動。絕對臥床會導致肌力衰退，增加未來跌倒機率；約束與鎮靜均為最後手段，且伴隨嚴重併發症，不可輕易使用。
For patients at high risk of falling, placing them near the nursing station enhances observation, allowing the nurse to provide immediate assistance without restricting patient activity. Absolute bed rest leads to muscle weakness and increases future risk of falls; restraints and sedation are both last-resort measures associated with serious complications and must not be used lightly.
✦ 台美臨床差異
美國對跌倒預防強調「多重介入」（Multifactorial intervention）；台灣則重視給予「防跌手環」與床邊提醒。