— 安全與感染控制 · EASY · MCQ —
護理師為一位有跌倒風險的病人進行身體評估。下列哪項介入措施最為合適？
A nurse is performing a physical assessment on a client with a history of fall risks. Which intervention is the most appropriate to implement?
- APlace the client in a room far from the nurse station將病人安置在遠離護理站的房間
- BLimit fluid intake to prevent bathroom trips限制液體攝取以減少去廁所的次數
- CKeep the bed in the lowest position at all times✓ 正解隨時保持床位在最低位置
- DInstruct the client to get up quickly when feeling dizzy指導病人在感到頭暈時快速起身
— Explanation · 中文詳解 —
跌倒預防是醫療環境中最基本且重要的安全護理。病人的跌倒風險評估（Fall risk assessment）應結合環境調整，將床位降至最低位置（Lowest position）可有效降低病人若不慎下床時的衝擊高度，這是最簡單有效且不需額外器材的防護措施，符合安全護理（Safety and Infection Control）的要求。
To minimize injury from falls, the bed should be kept in the lowest position at all times. This simple environmental adjustment reduces the height of a potential fall, which is a key safety measure for clients identified as high-risk.