護理師檢查病人的環境安全。哪項發現需要立即介入?
A nurse is checking the safety of a client's environment. Which finding requires immediate intervention?
- AThe bed is in the lowest position病床處於最低位置
- BA fraying cord on the client's electric razor✓ 正解病人電動刮鬍刀的電線磨損
- CNon-skid socks are on the client's feet病人腳上穿著防滑襪
- DThe call light is within the client's reach呼叫鈴在病人可及範圍內
護理師在提供照護時,確保病人環境的安全是其核心職責之一。一個安全的環境可以預防意外傷害、感染傳播,並促進病人的康復。環境安全檢查需要護理師具備敏銳的觀察力,能夠識別出潛在的危險因素,並立即採取行動加以糾正。這些危險因素可能涉及設備故障、環境佈置不當或衛生問題。 正確答案「C」描述的「病人電動刮鬍刀的電線磨損(A fraying cord on the client's electric razor)」是一個需要立即介入的嚴重安全隱患。磨損的電線可能導致電線短路、觸電(electrical shock)或引發火災(fire),對病人、醫護人員及周圍環境構成直接的生命財產威脅。護理師一旦發現此類問題,應立即將危險設備移除,並安排維修或報廢,確保不再被使用。相較於其他選項描述的都是正確或非緊急的安全措施,磨損的電線代表著即刻的、潛在的嚴重傷害風險,因此需要最高優先級的介入。
A fraying cord on an electric razor presents an immediate electrical hazard that could cause shock or fire, requiring urgent intervention. While low beds, non-skid socks, and accessible call lights are appropriate safety measures, they do not pose an imminent threat like damaged electrical equipment. The nurse must remove the faulty device immediately to ensure client safety.
美國醫院有專門的 Biomedical engineering 部門負責電器檢驗;台灣亦然,但病人自備電器管理較具挑戰。