— 降低風險 · EASY · MCQ —
護理師教導病人有關預防跌倒的重要性。病人下列哪項陳述表示需要進一步指導？
A nurse is teaching a client about the importance of fall prevention. Which statement by the client indicates a need for further teaching?
- AI will wear non-slip shoes when I am at home.我在家裡會穿防滑鞋。
- BI will leave small throw rugs in my bedroom for comfort.✓ 正解我會為了舒適在臥室鋪設小塊地毯。
- CI will keep the pathways in my home clear of clutter.我會保持家中通道暢通無雜物。
- DI will ask for assistance when I need to get out of bed.當我需要下床時，我會尋求協助。
— Explanation · 中文詳解 —
跌倒預防是 NCLEX 中的重點考題，核心原則在於消除環境潛在風險。小地毯（throw rugs）因邊緣容易捲曲或在平滑地板上滑動，是造成居家跌倒的常見兇手。護理師應指導病人移除此類物品，或在必要時選用具備防滑背膠的款式。其他選項皆為良好的安全習慣，如穿著防滑鞋、維持動線暢通及尋求協助，這些都能有效降低跌倒機率。在臨床評估中，安全永遠優先於舒適，因此留下地毯以求舒適的選項是錯誤的。
Leaving small throw rugs in the bedroom indicates a need for further teaching because they create tripping hazards; safety priorities require removing loose rugs or securing them to prevent falls.