— 安全與感染控制 · MEDIUM · MCQ —
護理師檢視病房,下列何種情況需要護理師立即介入?
A nurse observes a client's room. Which finding requires immediate action by the nurse?
- AThe bed is at the lowest position病床處於最低位置
- BElectrical cord is frayed near the outlet✓ 正解插座附近的電線破損
- CClear path to the bathroom通往浴室的路徑清晰
- DCall light is within reach呼叫鈴在觸手可及之處
— Explanation · 中文詳解 —
護理環境安全評估(Environmental Assessment)是護理師的職責。電線裸露(frayed cord)屬於嚴重的電力安全隱患,可能導致火災或病人觸電。護理師必須立即介入,將該設備移除、標示故障,並通知工務部門修復。其他選項(低床位、呼叫鈴在手、動線清晰)皆為正確的安全維護措施,不需立即介入。
A frayed electrical cord poses an immediate risk of fire or electric shock and requires urgent removal and repair. Other options, such as keeping the bed low, maintaining a clear path, and ensuring the call light is within reach, are standard safety measures that do not require immediate intervention.