— 照護管理 · EASY · SATA —
護理師照護一位有跌倒病史的病人時，應採取哪些措施？（選所有適合的）
Which of the following actions should the nurse include when caring for a client with a history of falls? (Select all that apply.)
- AKeep the call light within reach at all times✓ 正解呼叫鈴應隨時保持在病人可及之處
- BEnsure the hospital bed is kept in the lowest position✓ 正解確保病床維持在最低位置
- CKeep the room lights dim to promote sleep at night保持房間燈光昏暗以促進夜間睡眠
- DEncourage the client to request help before getting up✓ 正解鼓勵病人在起身前請求協助
- EApply soft wrist restraints to prevent the client from getting up使用軟質手腕約束帶以防止病人起身
— Explanation · 中文詳解 —
預防跌倒（Fall Prevention）是病房照護的基本功。護理師應透過環境控制（Environment Control）與病人教育來降低風險。將病床調低可減少病人若不慎跌落時的衝擊力；呼叫鈴隨手可得能確保病人需要協助時能即時聯繫護理人員；鼓勵病人請求協助則是建立安全行為模式，從源頭減少單獨下床導致的風險。
Fall prevention is fundamental to inpatient care. The nurse should reduce risk through environmental control and patient education. Lowering the bed reduces the impact if the client falls; keeping the call light within reach lets the client signal for help quickly; encouraging the client to request assistance establishes safe behavior patterns and reduces the risk from getting up alone.