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基本照護與舒適 · MEDIUM · MCQ

病人表現出跌倒徵象時,護理師最合適的行動是什麼?

Which of the following is the most appropriate action when a client exhibits symptoms of a fall?

  • AGuide the client to the floor safely✓ 正解
    引導病人安全地滑向地面
  • BLeave the client to get help
    離開病人去尋求協助
  • CTry to break the fall by catching the client
    嘗試接住病人以減輕跌落衝擊
  • DRush to the client to stop them from falling
    衝向病人以阻止其跌倒
Explanation · 中文詳解

預防病人跌倒時,護理師的首要任務是保護病人的頭部與重要器官,避免二次傷害。若跌倒已不可避免,護理師應利用身體支撐病人的重心,順勢引導其滑向地面(Guide to floor),此舉能分散衝擊力,並避免護理師強行接住病人導致雙方肌肉韌帶拉傷或骨折。絕不可因慌張而離開病人去尋求協助,應維持陪伴並大聲呼救,確保病人安全。

When preventing a fall, the nurse's primary goal is to protect the client's head and vital organs and avoid secondary injury. If a fall is unavoidable, the nurse should use the body to support the client's center of gravity and guide the client safely to the floor; this distributes the impact force and avoids the strain or fractures that may occur when the nurse attempts to catch the client outright. The nurse must never leave the client to seek help out of panic, but should remain with the client while calling out loudly for assistance, ensuring the client's safety.

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