— 安全與感染控制 · MEDIUM · SATA —
護理師進行居家環境安全評估。哪些發現需要立即介入？（選所有適合的）
A nurse is conducting a safety assessment of a client's home environment. Which findings require immediate intervention? (Select all that apply.)
- AArea rugs are placed over carpeted floors✓ 正解地毯上鋪設區域地毯
- BGrab bars are installed in the shower淋浴間安裝扶手
- CLoose electrical cords are running across the floor✓ 正解鬆散的電線橫跨地面
- DBathroom floor is cluttered with towels✓ 正解浴室地板堆滿毛巾
- ELighting is dim in the hallways and stairs✓ 正解走廊和樓梯光線昏暗
— Explanation · 中文詳解 —
居家安全評估的核心在於識別並移除環境中的潛在危害，以預防跌倒（Fall Prevention）。根據 NCLEX 的安全原則，任何會阻礙步態或增加絆倒風險的物品都應立即處理。A、C、D、E 選項均為常見的居家安全隱患，需透過移除、清理或改善光線來降低危險。B 選項安裝扶手是正向的安全促進措施，旨在提供支撐而非構成風險。
Immediate intervention is required for environmental hazards that increase fall risk, such as area rugs, loose electrical cords, bathroom clutter, and dim lighting in hallways or stairs. These factors obstruct gait or reduce visibility, whereas grab bars are protective measures that enhance safety rather than pose a threat.