護理師正在評估一位病人跌倒的風險。下列何種陳述表示需要進一步的跌倒預防教育？
A nurse is assessing a client's risk for falls. Which statement by the client indicates a need for further fall prevention education?
- AI sometimes feel dizzy when I stand up quickly.✓ 正解我有時快速站起時會感到頭暈。
- BI keep my walking paths clear of clutter.我會保持行走路徑暢通無阻，清除雜物。
- CI wear non-slip slippers indoors.我在室內穿防滑拖鞋。
- DI have grab bars installed in my bathroom.我在浴室安裝了扶手。
跌倒預防是老年照護的安全核心（Safety Priority）。當病人提到「站起來時感到頭暈」時，必須高度懷疑為「姿態性低血壓（Orthostatic hypotension）」。這代表身體調節血壓的能力減弱，在姿勢改變（如從坐或躺到站）時血液回流不足，導致腦部短暫缺氧，是導致跌倒最直接的高危險因子。這類病人需要進一步衛教，例如「三段式起身法（先坐起，腳垂床邊，觀察無頭暈再站起）」，並評估用藥（如降血壓藥）是否過量。
Fall prevention is a core safety priority in geriatric care. When the client reports feeling dizzy upon standing, the nurse must strongly suspect orthostatic hypotension. This indicates an impaired ability to regulate blood pressure, so that with changes of position (such as moving from sitting or lying to standing) venous return is inadequate and there is transient cerebral hypoperfusion, which is the most direct high-risk factor for falls. Such clients need further teaching, for example the 'three-step method' for getting up (sit up first, dangle the legs over the edge of the bed, and only stand once dizziness has resolved), and assessment of medications (such as antihypertensives) for possible overdose.