— 安全與感染控制 · EASY · SATA —
護理師應採取哪些措施以預防住院病人跌倒？（選所有適合的）
Which of the following actions should the nurse prioritize to prevent a client from falling in the hospital? (Select all that apply.)
- AKeep the bed in the lowest position✓ 正解將病床維持在最低位置
- BEnsure the call light is within reach✓ 正解確保呼叫鈴在可及範圍內
- CKeep the room free of clutter✓ 正解保持房間無雜物
- DApply physical restraints on all clients對所有病人使用身體約束
- EPlace non-slip socks on the client✓ 正解讓病人穿著防滑襪
— Explanation · 中文詳解 —
預防住院病人跌倒是護理照護的核心品質指標。採取多層次的環境預防措施（Fall Precautions）能有效降低風險。核心策略包括維持環境淨空、確保病人能隨時取得呼叫鈴（Call Light）、將病床維持在最低高度以防墜床受傷，並使用防滑裝備（如止滑襪）。身體約束（Restraints）屬於限制病人自由的手段，需嚴格遵循醫囑與法規，非預防跌倒的常規手段。
Preventing falls requires a multi-layered approach including keeping the bed in the lowest position, ensuring the call light is within reach, maintaining a clutter-free environment, and using non-slip socks. These measures reduce tripping hazards and facilitate timely assistance, whereas physical restraints are a last resort that may increase agitation and injury risk.