— 安全與感染控制 · EASY · MCQ —
護理師評估一位高齡病人有跌倒風險，哪項措施為優先事項？
A nurse identifies a potential fall risk for an elderly client. Which intervention is the highest priority?
- APlace the client in a room near the nursing station將病人安置在靠近護理站的房間
- BEncourage the client to use a walker鼓勵病人使用助行器
- CApply a bed alarm使用床邊警報器
- DKeep the call light within the client's reach✓ 正解將呼叫鈴放在病人觸手可及之處
— Explanation · 中文詳解 —
跌倒預防的核心在於「預防勝於治療」。高齡病人的跌倒通常發生在試圖自行下床如廁時。將呼叫鈴（Call light）放置於病人隨手可及處，是確保病人能在需要幫助時即時獲得協助，減少自行離床的衝動。這是最基本、最直接且有效的安全介入措施。其他選項如離護理站近或警報器雖有輔助作用，但皆無法取代病人主動求援的機制。
The highest priority intervention for fall prevention is ensuring the call light is within the client's reach. This allows the elderly client to summon assistance before attempting to get out of bed, thereby reducing the impulse to move independently. While other measures like bed alarms or proximity to the nursing station offer support, they do not replace the client's ability to actively request help.