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安全與感染控制 · MEDIUM · MCQ

下列何者「非」防跌倒病人的安全措施?

Which of the following is NOT a safety measure for a patient on fall precautions?

  • AUsing non-slip footwear
    使用防滑鞋具
  • BIncreasing the patient's activity level without assessment✓ 正解
    未經評估即增加病人活動量
  • CEnsuring adequate lighting in the room
    確保房間有充足的照明
  • DMoving the patient to a room near the nursing station
    將病人移至護理站附近的病房
Explanation · 中文詳解

跌倒預防的核心在於平衡「活動需求」與「生理安全」。護理師在執行跌倒預防(Fall Precautions)時,必須基於個案的評估結果(如 Morse Fall Scale)來制定介入措施。選項 B 的錯誤在於忽略了「評估」這一臨床判斷的先決條件。盲目增加活動量會導致體力透支、姿態性低血壓(Orthostatic Hypotension)或平衡喪失,進而引發跌倒。臨床上,任何活動調整都必須依據個案的肌力、平衡感及認知狀態來循序漸進。

The core of fall prevention lies in balancing "the need for activity" with "physiological safety." When implementing fall precautions, the nurse must develop interventions based on the client's assessment results (such as the Morse Fall Scale). The error in option B lies in ignoring the prerequisite of clinical "assessment." Blindly increasing activity may lead to physical exhaustion, orthostatic hypotension, or loss of balance, thereby precipitating a fall. Clinically, any adjustment in activity level must be made gradually, based on the client's muscle strength, sense of balance, and cognitive status.

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