— 安全與感染控制 · MEDIUM · MCQ —
護理師協助一位有跌倒病史的病人上廁所，哪項措施最適當？
A nurse is assisting a client with a history of falls to the bathroom. Which action is most appropriate?
- ALeave the call light within reach and tell the client to call將呼叫鈴放在觸手可及之處，並告訴病人呼叫
- BInstruct the client to wait for assistance指示病人等待協助
- CProvide a walker and encourage independence提供助行器並鼓勵獨立活動
- DPlace the client on a fall risk protocol and assist with transfers✓ 正解將病人納入跌倒風險協議並協助轉移
— Explanation · 中文詳解 —
對於有跌倒病史的病人，單純的口頭叮嚀或提供呼叫鈴（call light）不足以確保安全，因為病人可能因認知障礙或生理狀況無法配合。護理措施應採取主動介入（proactive intervention），將病人納入跌倒風險方案（fall risk protocol），包含標示提醒、環境安全檢查及護理人員協助轉移，以降低意外發生率。
For clients with a history of falls, passive measures like call lights are insufficient due to potential cognitive or physical limitations. The nurse should proactively implement a fall risk protocol, which includes environmental safety checks and direct assistance with transfers to minimize injury risk.