— 安全與感染控制 · EASY · SATA —
護理師評估高齡住院病人的跌倒風險因素,下列何者正確?(選所有適合的)
A nurse identifies which of the following as high-risk factors for falls in an elderly hospitalized client? (Select all that apply.)
- AHistory of a previous fall✓ 正解曾有跌倒病史
- BRecent administration of benzodiazepines✓ 正解近期使用苯二氮平類藥物
- CUse of a cane for ambulation使用拐杖行走
- DImpaired vision✓ 正解視力受損
- EAge 80 or older✓ 正解年齡 80 歲或以上
— Explanation · 中文詳解 —
跌倒風險評估(如 Morse Fall Scale)包含多項指標。過往跌倒史(A)、鎮靜藥物(B)、視力障礙(D)及高齡(E)均屬常見高危險因子。C 選項中使用拐杖雖增加活動穩定度,但若正確使用,並非單純的「高風險因素」。
High-risk factors for falls in elderly clients include a history of previous falls, recent administration of sedating medications like benzodiazepines, impaired vision, and advanced age. While assistive devices like canes are used for stability, they are not inherently high-risk factors when used correctly.
✦ 台美臨床差異
美台對跌倒預防皆高度重視,美國醫院常設有專責 Fall Committee 追蹤統計與環境安全設計。