病人正在跌倒,護理師哪項作為最好?
A client is experiencing a fall. Which is the best nursing action?
- AGuide the patient to the floor while protecting their head✓ 正解引導病人緩慢倒地並保護其頭部
- BTry to break the fall by holding the patient up嘗試攙扶病人以減緩跌倒衝擊
- CStep aside and let the patient fall to avoid injury to yourself閃開讓病人跌倒以避免自身受傷
- DCall for help and wait for assistance before acting呼叫協助並在採取行動前等待支援
跌倒當下,最佳護理行為是「引導跌倒」,即在病人背後呈弓箭步,讓病人順著自己的身體緩慢下滑,並以手護住病人頭部,減少衝擊(A)。A(強行扶住)會導致護理人員腰部拉傷或雙方一起跌倒。B(閃避)不負責任且危險。D(等待救援)會讓病人直接重摔。
Wait, I made a duplicate key error in thought process, let me fix the JSON structure mentally. The previous block was for cecf... oh, the prompt has cecf... and then ced1... and then cee2... Let me re-read the IDs carefully. ID: cecf950d-1fd0-455e-a7f2-aba590e8f96b -> Fall question. Rationale: Guide to floor. ID: ced155e6-09c4-4c47-bdf4-4eaa87f0662a -> Infectious specimen. Rationale: Biohazard bag. ID: cee2a0ab-e23b-4e4a-a248-7f3f847e7d39 -> Insomnia. Rationale: Cluster care, massage, limit visitors. Let me rewrite the last few entries correctly. For ced155e6-09c4-4c47-bdf4-4eaa87f0662a: Handling infectious specimens requires strict adherence to standard precautions to prevent environmental contamination and transmission. Placing the container in a sealed biohazard bag contains potential spills and alerts staff to the infectious nature of the contents. Specimens must be labeled immediately at the bedside to ensure accuracy, and gloves worn should be standard protective gear sufficient for the task.
台灣護理臨床教導與美國一致,皆要求透過身體力學減緩跌倒,保護頭部為第一優先。