下列哪些護理措施適合預防住院高齡病患跌倒?(選所有適合的)
Which of the following nursing actions are appropriate to prevent a fall in a hospitalized older adult? (Select all that apply.)
- AKeep the bed in the lowest position✓ 正解將病床保持在最低位置
- BEnsure the call light is within reach✓ 正解確保呼叫鈴在觸手可及之處
- CPlace the patient in a room far from the nursing station將病人安排在遠離護理站的房間
- DEncourage the use of non-slip socks✓ 正解鼓勵使用防滑襪
- EKeep the environment free of clutter✓ 正解保持環境無雜物
預防住院高齡病患跌倒(Fall prevention in hospitalized older adults)是護理人員的重要職責,需要綜合運用多種策略。核心概念是創造一個安全的住院環境,並積極監測病人的狀況。 正確答案 A, B, D, E 都是有效的預防措施。A(保持病床最低位)可以縮短病人從床上跌落的距離,降低受傷的可能性。B(確保呼叫鈴在可及範圍)讓病人能在需要時及時呼叫協助,避免自行冒險下床。D(鼓勵使用防滑襪)能增加腳底與地面的摩擦力,減少滑倒的風險。E(保持環境整潔無雜物)消除了絆倒的物理危險。 選項 C 錯誤,將病人安置在離護理站遠的房間,會降低護理人員的觀察頻率和反應速度,反而可能增加跌倒的風險。高風險病人應盡量安排在靠近護理站的位置,以便護理人員能更密切地監測。
Fall prevention in hospitalized older adults is a key nursing responsibility, requiring multiple strategies. Core concept: create a safe environment and actively monitor. A (bed in lowest position) reduces fall impact. B (call light in reach) lets the patient summon help, avoiding risky self-ambulation. D (non-slip socks) increases traction. E (clutter-free environment) removes tripping hazards. C is wrong — placing the patient far from the nursing station reduces observation and response speed, increasing risk. High-risk patients should be near the nursing station.