— 健康促進與維護 · MEDIUM · MCQ —
對於有骨質疏鬆風險的個案，下列哪項護理措施最合適？
Which of the following nursing interventions is most appropriate for a client at risk for osteoporosis?
- APromote sedentary activities to prevent falls促進久坐活動以預防跌倒
- BRecommend regular weight-bearing exercises✓ 正解建議規律進行負重運動
- CEncourage a high-protein, low-calcium diet鼓勵高蛋白、低鈣飲食
- DSuggest avoiding sunlight to protect skin建議避免日曬以保護皮膚
— Explanation · 中文詳解 —
負重運動（Weight-bearing exercises）能透過機械壓力刺激骨芽細胞活性，是預防與延緩骨質疏鬆的核心。C 錯誤：應攝取高鈣飲食。D 錯誤：適度日曬有助於合成維生素 D。A 錯誤：應鼓勵規律且安全的活動。
Weight-bearing exercises stimulate osteoblast activity through mechanical stress and are central to preventing and slowing osteoporosis. C is incorrect: a high-calcium diet should be encouraged. D is incorrect: moderate sun exposure aids vitamin D synthesis. A is incorrect: regular, safe activity should be encouraged.
✦ 台美臨床差異
台灣長者常因擔心跌倒而不敢運動，美國醫護則強調整體評估後的「安全式運動」建議。