— 安全與感染控制 · EASY · SATA —
護理師評估病人的跌倒風險，哪些因素會增加跌倒風險？（選所有適合的）
A nurse is assessing a client for fall risk. Which factors should the nurse identify as increasing the risk of falling? (Select all that apply.)
- AAge 65 years or older✓ 正解65歲或以上
- BRegular participation in strength and balance exercises規律參與肌力與平衡運動
- CHistory of a recent fall✓ 正解近期跌倒史
- DUse of antihypertensive medication✓ 正解使用降血壓藥物
- EInstallation of grab bars and improved lighting at home在家中安裝扶手並改善照明
— Explanation · 中文詳解 —
年齡 65 歲以上、近期跌倒史及使用可能造成姿勢性低血壓或頭暈的降血壓藥物，均會提高跌倒風險。護理師應進一步評估步態、平衡、姿勢性生命徵象及藥物影響。規律肌力和平衡訓練，以及安裝扶手和改善照明，都是實證支持的跌倒預防措施。
All listed factors significantly increase fall risk: advancing age involves physiological changes like gait instability, a history of previous falls is a strong predictor of future incidents, and antihypertensive medications can cause orthostatic hypotension leading to dizziness. Therefore, the nurse should recognize that all these elements contribute to a high overall fall risk score.