護理師針對有跌倒史的病人，應執行哪些護理措施？（選所有適合的）
Which actions should the nurse take when providing care to a client with a history of falls? (Select all that apply.)
- AKeep the bed in the lowest position✓ 正解將病床保持在最低位置
- BPlace the client in a room far from the nursing station將案主安置在遠離護理站的房間
- CEnsure call light is within reach✓ 正解確保呼叫鈴在觸手可及之處
- DApply soft restraints during the night夜間使用軟性約束帶
- EProvide non-slip footwear✓ 正解提供防滑鞋
針對有跌倒史的病人，護理師需建立全方位的跌倒預防措施（Fall precautions）。核心概念在於減少環境風險與增強病人自理安全。將床位降至最低以減少若發生墜床的衝擊力；確保呼叫鈴在易取得範圍內以利及時求助；提供防滑鞋以增加抓地力。此外，安置於靠近護理站的房間可增加護理師監測頻率，但並非跌倒預防的唯一手段。
For clients with a history of falls, the nurse must implement comprehensive fall precautions. The core concept is to reduce environmental risks and increase the client's safety with self-care activities. Keeping the bed in the lowest position minimizes the impact distance if a fall occurs; ensuring the call light is within reach allows the client to summon help in a timely manner; providing non-slip footwear improves traction. In addition, placing the client in a room close to the nursing station increases the frequency of nursing observation, but is not the only fall-prevention measure.