護理師正在照顧一位有跌倒病史且服用高劑量類固醇的病人。下列哪項評估發現需要立即介入？
A nurse is caring for a client with a history of falls who is taking a high-dose corticosteroid. Which assessment finding requires immediate intervention?
- AClient's blood glucose is elevated病人血糖升高
- BClient's blood pressure is elevated病人血壓升高
- CClient reports muscle wasting✓ 正解病人報告肌肉萎縮
- DClient reports feeling weak病人報告感到虛弱
長期或高劑量使用皮質類固醇（Corticosteroids）會導致蛋白質分解代謝增加，引起肌肉萎縮（Muscle Wasting），這會嚴重損害病人的肌力與平衡感。對於有跌倒病史的病人，肌肉萎縮直接大幅提升了再次跌倒的風險。相較於血糖或血壓的異常，肌力喪失是造成病人日常移動安全最直接的威脅，需立即介入評估並調整活動計畫。
Long-term or high-dose corticosteroid use increases protein catabolism, causing muscle wasting, which seriously compromises muscle strength and balance. For a client with a history of falls, muscle wasting substantially increases the risk of recurrent falls. Compared with abnormalities in blood glucose or blood pressure, loss of strength is the most direct threat to safe daily mobility and requires immediate intervention with reassessment and revision of the activity plan.