— 基本照護與舒適 · EASY · MCQ —
一位有跌倒病史的病人，下列哪項為護理師優先採取的安全措施？
A nurse is caring for a client with a history of falls. What is the priority safety measure?
- AKeep the room lights dim to promote rest調暗房間燈光以促進休息
- BKeep the bed in the lowest position with wheels locked✓ 正解將床置於最低位置並鎖定輪子
- CApply a soft physical restraint使用軟質身體約束
- DAdminister a mild sedative at bedtime睡前給予輕度鎮靜劑
— Explanation · 中文詳解 —
針對有跌倒病史的病人，環境安全是預防工作的首要任務。將病床調至最低位置（Lowest position）並鎖定輪子（Locked wheels），可縮短病人在起身時的跌落距離，並防止病床滑動，這是護理師執行最基本且有效的安全措施。約束或鎮靜劑屬於二線手段，需謹慎使用，且鎮靜劑可能反而增加意識模糊風險。
For a patient with a history of falls, environmental safety is the top priority in prevention. Placing the bed in its lowest position and locking the wheels shortens the distance the patient would fall when getting up and prevents the bed from sliding; these are the most basic and effective safety measures the nurse can implement. Restraints or sedatives are second-line measures that must be used with caution, and sedatives may instead increase the risk of confusion.