— 安全與感染控制 · MEDIUM · SATA —
下列哪些護理措施適用於跌倒高風險病人？（選所有適合的）
Which of the following interventions are appropriate for a client at risk for falls? (Select all that apply.)
- AKeep the bed in the lowest position✓ 正解將病床調整至最低位置
- BPlace the client in a room far from the nursing station將病人安置在遠離護理站的房間
- CEnsure call light is within reach✓ 正解確保呼叫鈴在可及範圍內
- DKeep the floor clear of clutter✓ 正解保持地面整潔無雜物
- EApply soft wrist restraints to prevent getting up使用軟式手腕約束帶以防止病人起身
— Explanation · 中文詳解 —
跌倒預防（Fall prevention）的重點在於消除環境中的危險因子與提升病人的便利性。降低床位可減少萬一跌倒時的墜落高度；確保呼叫鈴在手邊能讓病人即時呼救；清理地板雜物能防止絆倒。這些屬於「預防性環境管理」。相反地，約束（Restraints）是為了保護病人安全而採取的最後手段（Last resort），需有嚴格的醫囑與評估，不應作為一般的跌倒預防措施，且約束本身會增加病人躁動與併發症風險。
Fall prevention strategies focus on modifying the environment to reduce hazards and improve patient safety. Appropriate interventions include keeping the bed in the lowest position to minimize injury severity, ensuring the call light is within reach for immediate assistance, and keeping floors clear of clutter to prevent tripping.