一位高齡病人患有夜尿症且失眠。護理師應優先採取哪項措施？
A nurse is caring for an older adult client who is experiencing nocturia and insomnia. Which intervention should the nurse prioritize?
- ARestrict fluids after 18:00✓ 正解18:00 後限制液體攝取
- BPlace a bedside commode near the bed在床邊放置便盆
- CInstruct the client to avoid all naps during the day指示病患避免白天午睡
- DAdminister a PRN sleeping medication at bedtime睡前給予 PRN 安眠藥物
夜尿症（Nocturia）常導致老年人睡眠中斷、疲勞，且夜間頻繁起床更會大幅增加跌倒風險。行為調整（Behavioral modification）是優先介入方式。限制晚間液體攝取（特別是睡前 2-3 小時）能有效減少夜間膀胱容量負荷，是解決問題的根本。藥物治療雖可考慮，但常伴隨嗜睡、認知功能下降等副作用，非首選。
Nocturia frequently disrupts sleep and causes fatigue in older adults, and frequent nighttime trips out of bed greatly increase the risk of falls. Behavioral modification is the priority intervention. Limiting fluid intake in the evening (especially 2 to 3 hours before bedtime) effectively reduces nighttime bladder volume load and addresses the root of the problem. Pharmacologic therapy may be considered, but it is often accompanied by side effects such as drowsiness and cognitive decline and is not the first choice.