對於跌倒高風險病人，下列哪些措施是合適的？（選所有適合的）
Which of the following interventions are appropriate for a client at high risk for 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 call light within reach✓ 正解將呼叫鈴放置在可觸及之處
- CKeep the environment free of clutter✓ 正解保持環境無雜物
- DApply physical restraints to keep the client in bed使用身體約束具以防止病人離床
- EEnsure the client wears non-slip footwear✓ 正解確保病人穿著防滑鞋
預防跌倒是住院照護的重要環節。標準預防措施包含：維持床位低位、呼叫鈴在手邊（隨時呼叫）、移除地板雜物（防絆倒）、穿著防滑鞋。約束（Restraints）並非預防跌倒的首選，因為這可能增加病人的焦慮感、躁動與肌肉萎縮風險，應僅在最後手段且有嚴格醫囑下使用。護理師應對高風險病人進行跌倒風險評估，並落實預防措施。
Preventing falls is a key component of inpatient care. Standard preventive measures include keeping the bed in a low position, placing the call bell within reach (for prompt summoning of help), removing floor clutter (to prevent tripping), and wearing non-slip footwear. Restraints are not the first choice for fall prevention, because they can increase the patient's anxiety, agitation, and risk of muscle atrophy; they should be used only as a last resort and only with a strict physician's order. The nurse should perform a fall risk assessment in high-risk patients and implement preventive measures.