— 安全與感染控制 · EASY · MCQ —
對於跌倒高風險的病人，哪項護理措施最能提升病人安全？
Which of the following nursing actions best promotes safety for a client who is at high risk for falls?
- AApplying a vest restraint to the client為病人穿戴防墜衣（約束背心）
- BPlacing the client in a room far from the nursing station將病人安置在遠離護理站的房間
- CKeeping the bed in the lowest position with wheels locked✓ 正解保持床墊處於最低位置並鎖定輪子
- DEncouraging the client to walk barefoot for better traction鼓勵病人赤腳行走以增加摩擦力
— Explanation · 中文詳解 —
跌倒高風險病人的護理首重環境安全。將病床降至最低位（lowest position）可減少病人一旦跌落時的衝擊力，鎖定床輪可防止病人起身時病床滑動。這些是預防跌倒的基礎安全措施。約束（restraint）並非預防跌倒的首選，且可能增加病人掙扎與跌傷的風險。將病人置於遠離護理站的房間會增加監測困難，應優先考慮將高風險病人置於近護理站處。
Keeping the bed in the lowest position with wheels locked is a primary safety measure to reduce the distance of a potential fall and prevent the bed from moving. This minimizes injury risk compared to using restraints, which are a last resort, or placing the client far from the nursing station.