— 健康促進與維護 · EASY · MCQ —
護理師教導一位骨質疏鬆病人進行防跌措施。應優先採取哪項介入？
A nurse is teaching a client with osteoporosis about fall prevention. Which intervention should be prioritized?
- AIncrease indoor lighting to only at night僅在夜間增加室內照明
- BRemove throw rugs and clear pathways✓ 正解移除散落地毯並清理通道
- CInstall high beds to avoid bending安裝高床以避免彎腰
- DApply wax to all floors for a clean look在所有地板上打蠟以保持整潔外觀
— Explanation · 中文詳解 —
對於骨質疏鬆（Osteoporosis）病人，預防跌倒（Fall prevention）是護理的核心安全目標，旨在避免骨折導致的功能喪失。護理思路應遵循「環境安全優先於個體行為修正」。移除環境中的障礙物（如地毯、雜物）是預防跌倒最直接且有效的手段，能立即消除跌倒因子，屬於護理師可獨立執行的高優先級介入措施。
For clients with osteoporosis, fall prevention is the core nursing safety goal because it aims to avoid the functional loss caused by fractures. Nursing reasoning should follow the principle of 'environmental safety first, individual behavior modification second.' Removing environmental obstacles (such as rugs and clutter) is the most direct and effective way to prevent falls; it immediately eliminates fall risk factors and is an independent, high-priority nursing intervention.