— 照護管理 · EASY · MCQ —
護理師照護一位有跌倒病史的病人，哪項安全措施是首要的？
A nurse is caring for a client with a history of falls. Which safety intervention is the priority?
- AProviding a high-calorie diet提供高熱量飲食
- BTurning the client every two hours每兩小時為病人翻身
- CKeeping the bed in the lowest position✓ 正解保持病床處於最低位置
- DApplying physical restraints to the client為病人使用身體約束帶
— Explanation · 中文詳解 —
預防跌倒（Fall Prevention）的優先順序應從最簡單、最不具侵入性但最有效的環境調節做起。將床位降至最低可以顯著降低病人若不慎滑落時的受傷高度。雖然約束（Restraints）可以防止跌倒，但它是「最後手段」，因為它本身會帶來肢體損傷、心理創傷與認知惡化等併發症，必須在評估後由醫師開立處方方可使用。
The priority safety intervention for a client with a history of falls is to keep the bed in the lowest position to minimize the risk of serious injury if the client attempts to get up or rolls out of bed. This is a non-invasive environmental modification that addresses fall risk directly. Physical restraints are avoided as a first-line measure because they can increase agitation and the risk of injury, serving only as a last resort.