— 安全與感染控制 · MEDIUM · MCQ —
護理師照護一位有跌倒病史的病人，下列何者為預防病人跌倒的優先措施？
A nurse is caring for a client with a history of falls. Which action best reflects the nurse's priority in preventing client falls?
- AKeeping the bed in the lowest position and locked✓ 正解將病床保持在最低位置並上鎖
- BRequesting a sitter for the client為病人申請看護
- CApplying a vest restraint to keep the client in bed使用背心式約束帶讓病人留在床上
- DPlacing the client in a room near the nursing station將病人安置在靠近護理站的病房
— Explanation · 中文詳解 —
對於有跌倒病史的病人，預防跌倒是照護中的優先級。降低床位並鎖定煞車（A）能有效降低事故發生後的受傷高度與風險，這是 Fall Prevention Protocol 的標準基礎措施。約束（C）需謹慎評估，僅在有高度危險且其他方式無效時才使用。其他選項如轉入靠近護理站的病房（D）或申請看護（B）雖可降低風險，但降低床位是護理師能立即執行的最直接安全手段。
Keeping the bed in the lowest position with brakes locked is the most immediate and effective nursing intervention to reduce fall injury severity. This standard safety measure minimizes the distance a client could fall, directly addressing the priority of preventing harm in clients with a history of falls.