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安全與感染控制 · EASY · SATA

在醫院環境中,哪些病人跌倒風險最高?(選所有適合的)

Which clients are at the highest risk for falls in a hospital setting? (Select all that apply.)

  • AA client who is receiving intravenous diuretics✓ 正解
    接受靜脈利尿劑的病人
  • BA client with a history of recent syncope✓ 正解
    有近期昏厥病史的病人
  • CA client who is 85 years old✓ 正解
    85 歲的病人
  • DA client who is alert and oriented to time, place, and person
    對時間、地點和人具有定向力的清醒病人
  • EA client diagnosed with orthostatic hypotension✓ 正解
    被診斷為體位性低血壓的病人
Explanation · 中文詳解

醫院環境中的跌倒風險評估(Fall risk assessment)主要依據病人身體狀況與藥物影響。年齡大於 65 歲、服用影響血壓或排尿的藥物(如利尿劑)、有昏厥病史、存在體位性低血壓(Orthostatic hypotension)皆為顯著風險因子。護理師應針對這些高風險群執行預防措施,如床欄上鎖、提供協助下床及呼叫鈴提醒。

In the hospital setting, fall risk assessment is mainly based on the patient's physical condition and the influence of medications. Being older than 65 years, taking medications that affect blood pressure or urination (such as diuretics), a history of syncope, and the presence of orthostatic hypotension are all significant risk factors. Nurses should implement preventive measures for these high-risk groups, such as locking the bed in a low position, providing assistance when getting out of bed, and reminders to use the call light.

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