— 安全與感染控制 · EASY · SATA —
哪些病人屬於跌倒高風險群？（選所有適合的）
Which clients are at high risk for falls? (Select all that apply.)
- AA 75-year-old client with orthostatic hypotension✓ 正解患有姿勢性低血壓的 75 歲個案
- BA 40-year-old client post-appendectomy on day 1術後第一天的 40 歲闌尾切除術個案
- CA 60-year-old client taking multiple antihypertensive medications✓ 正解服用多種降血壓藥物的 60 歲個案
- DA 25-year-old client with a stable fracture in a cast石膏固定且骨折穩定的 25 歲個案
- EA 80-year-old client with confusion and history of recent falls✓ 正解有意識混亂及近期跌倒病史的 80 歲個案
— Explanation · 中文詳解 —
跌倒風險評估（Fall Risk Assessment）是臨床安全的核心。高風險因素包括生理機能衰退（如高齡）、血壓調節異常（如姿勢性低血壓）、藥物副作用（如抗高血壓藥物導致的頭暈）、認知功能障礙（如意識混亂）及跌倒病史。護理師應透過 Morse Fall Scale 等工具進行系統性評估，並對高風險病人採取針對性預防措施。
Clients are at high risk for falls if they have factors such as advanced age, orthostatic hypotension, polypharmacy leading to side effects like dizziness, cognitive impairment, or a history of previous falls. These physiological and environmental risks necessitate systematic fall risk assessments and targeted preventive interventions.