— 安全與感染控制 · EASY · MCQ —
護理師指導一位病人如何在家中預防跌倒。下列哪項建議最適當？
A nurse is teaching a client about preventing falls in the home. Which instruction is most appropriate?
- AWear soft socks for better grip on tiles穿軟襪以增加在磁磚上的摩擦力
- BIncrease lighting in the hallway only at night僅在夜間增加走廊照明
- CUse a walker only when feeling dizzy僅在感到頭暈時使用助行器
- DKeep the floor clear of rugs and loose cords✓ 正解保持地板無地毯和鬆散電線
— Explanation · 中文詳解 —
居家安全預防跌倒的首要原則是移除潛在的環境危害，如地毯邊緣易絆倒或雜亂的電線。地面淨空能大幅降低滑倒或絆倒風險。軟襪在磁磚上反而易滑，應穿著防滑鞋；助行器需持續使用而非僅在頭暈時；照明需隨時保持充足。
The fundamental principle of home fall prevention is to remove potential environmental hazards, such as curled rug edges that easily cause tripping or cluttered electrical cords. Keeping the floor clear greatly reduces the risk of slipping and tripping. Soft socks tend to slip on tile and should be replaced with non-slip footwear; a walker should be used continuously rather than only when the client feels dizzy; and adequate lighting should be maintained at all times.
✦ 台美臨床差異
美國護理師常進行居家安全評估（Home Assessment），台灣則多由物理治療師或出院準備個管師協助。