— 降低風險 · EASY · SATA —
護理師教導病人居家防跌倒措施。應包含哪些建議?(選所有適合的)
A nurse is teaching a client about fall prevention at home. Which suggestions should be included? (Select all that apply.)
- ARemove throw rugs from the floor✓ 正解移除地板上的小地毯
- BInstall grab bars in the bathroom✓ 正解在浴室安裝扶手
- CUse dim lighting in hallways to avoid glare在走廊使用昏暗照明以避免眩光
- DWear sturdy shoes with non-slip soles✓ 正解穿著鞋底防滑的穩固鞋子
- EKeep pathways free of clutter✓ 正解保持通道無雜物
— Explanation · 中文詳解 —
居家跌倒預防的核心在於移除環境風險因子及維持行動穩定性。根據 NCLEX 安全優先原則,護理師應提供具體、可執行的環境修正建議。選項 A、B、D、E 皆為實證基礎(Evidence-based)的防跌策略,能有效降低意外發生率。選項 C 的昏暗照明反而會影響視力受損或年長者的空間判斷,增加跌倒風險。
Home fall prevention focuses on removing environmental risk factors and maintaining stable mobility. According to NCLEX safety priorities, the nurse should provide concrete, actionable recommendations for environmental modification. Options A, B, D, and E are all evidence-based strategies that effectively reduce the incidence of falls. Option C (dim lighting) actually impairs spatial judgment in those with visual impairment or in older adults, increasing fall risk.