— 安全與感染控制 · MEDIUM · SATA —
為預防有眩暈病史的病人發生跌倒，護理師應採取哪些措施？（選所有適合的）
Which of the following interventions should the nurse include in a plan of care to prevent falls in a client with a history of vertigo? (Select all that apply.)
- AKeep the bed in the lowest position✓ 正解將床置於最低位置
- BEncourage the client to get up quickly鼓勵病人快速起身
- CEnsure the call light is within reach✓ 正解確保呼叫鈴在觸手可及之處
- DKeep the environment free of clutter✓ 正解保持環境無雜物
- EApply soft physical restraints施加軟性身體約束
— Explanation · 中文詳解 —
預防跌倒需落實安全環境與行為指導。對於眩暈病史的病人，應採取：低床位、呼叫鈴在手邊、移除地板雜物、教導緩慢起身。因為動作過快會誘發眩暈，增加跌倒風險。約束（Physical restraints）不僅會導致心理壓力，還可能造成身體傷害，除非病況極度危急，否則不應作為預防跌倒的常規手段。護理師應在評估病人風險後，落實這些預防措施。
Fall prevention for clients with vertigo involves maintaining a safe environment and teaching slow position changes to avoid triggering dizziness. Essential measures include keeping the bed in the lowest position, ensuring the call light is within reach, and removing clutter to prevent tripping hazards.