— 照護管理 · MEDIUM · SATA —
護理師照護一位有跌倒病史，本次因腳踝骨折入院的病人，應執行哪些跌倒預防策略？（選所有適合的）
A nurse is caring for a client with a history of falls who is now admitted for a fractured ankle. Which fall prevention strategies should the nurse implement? (Select all that apply.)
- AKeep the bed in the lowest position✓ 正解將病床調整至最低位置
- BEnsure the call light is within reach✓ 正解確保呼叫鈴在可觸及範圍內
- CRemove clutter from the client's room✓ 正解清除病人房間內的雜物
- DEncourage the client to wear non-skid socks✓ 正解鼓勵病人穿著防滑襪
- EAmbulate the client independently in the hallway讓病人在走廊獨立步行
— Explanation · 中文詳解 —
跌倒預防是醫療照護安全（Patient Safety）的核心目標。對於高風險病人（有跌倒病史、骨折），護理師應採取多重防護策略：1. 降低重心（床鋪最低位）；2. 確保求救手段（呼叫鈴在手邊）；3. 移除環境危害（雜物清理）；4. 增加摩擦力（防滑襪）。這些措施共同構成了病室內的安全網，能顯著降低意外跌倒的發生率。
Fall prevention for a high-risk client includes keeping the bed in the lowest position to reduce fall distance, ensuring the call light is within reach for prompt assistance, removing clutter to minimize tripping hazards, and encouraging non-skid socks for better traction. These measures collectively create a safer environment and address multiple risk factors associated with falls.