— 安全與感染控制 · MEDIUM · MCQ —
護理師應優先預防哪位病人的跌倒風險？
Which client should the nurse prioritize to prevent a fall?
- AA 50-year-old receiving physical therapy twice daily每日接受兩次物理治療的50歲病人
- BA 20-year-old with a minor surgical procedure接受小型手術的20歲病人
- CAn alert 40-year-old with a fractured ankle意識清醒、40歲且踝關節骨折的病人
- DA 75-year-old with a history of orthostatic hypotension✓ 正解有姿勢性低血壓病史的75歲病人
— Explanation · 中文詳解 —
跌倒風險評估（Fall Risk Assessment）需綜合考慮生理狀態、年齡及病史。高齡（>65歲）加上姿勢性低血壓（Orthostatic Hypotension）是跌倒的最強預測因子，因為病人起身時血壓驟降易導致暈厥。相比之下，單純骨折或術後復健的病人，其風險通常可藉由輔具或警示來管理，故優先級低於有循環障礙的長者。
Fall risk assessment prioritizes patients with significant physiological vulnerabilities, particularly advanced age combined with orthostatic hypotension. This condition causes sudden blood pressure drops upon standing, leading to dizziness or syncope, making elderly patients with this history the highest priority for fall prevention interventions compared to those with stable mobility issues.