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照護管理 · EASY · MCQ

護理師照護一位意識混亂的高齡病人,採取哪項措施以確保病人安全?

A nurse is caring for an older adult client who is confused. Which action should the nurse take to ensure the safety of the client?

  • AAdminister PRN sedative medication to keep the client quiet
    給予處方用鎮靜劑以讓病人安靜
  • BKeep the lights off to promote sleep
    熄滅燈光以促進睡眠
  • CPlace the client in a room near the nurses' station✓ 正解
    將病人安置在護理站附近的房間
  • DApply physical restraints immediately
    立即施加身體約束
Explanation · 中文詳解

對於意識混亂的高齡病人,首要目標是預防跌倒與意外。將病人安置於靠近護理站(Nurses' station)的房間,屬於「環境調整」(Environmental modification),能讓護理人員在執行常規照護時,更頻繁地觀察病人狀況。這種方式比約束更具人道,且能有效減少因病人迷失而導致的下床跌倒風險。

Placing the client in a room near the nurses' station facilitates frequent visual monitoring and allows for rapid intervention, which is essential for ensuring the safety of confused older adults. This environmental modification reduces the risk of falls and disorientation without resorting to restrictive measures like sedation or restraints.

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