護理師應建議一位 50 歲女性客戶在健康檢查中進行哪些篩檢？（選所有適合的）
Which of the following health screenings should a nurse recommend for a 50-year-old female client during a wellness checkup? (Select all that apply.)
- AMammogram✓ 正解乳房攝影
- BBone density scan (DEXA)骨密度掃描 (DEXA)
- CPap smear子宮頸抹片檢查
- DBlood pressure screening✓ 正解血壓篩檢
- EFasting blood glucose test✓ 正解空腹血糖檢測
50 歲女性的健康篩檢重點在於常見慢性病與惡性腫瘤。乳房攝影（Mammogram）是乳癌篩檢的金標準；血壓檢測用於監測高血壓；空腹血糖測驗則能早期發現糖尿病前期或糖尿病。子宮頸抹片（Pap smear）雖重要，但 50 歲後若過往紀錄正常，通常可調整頻率，並非「必須」每年做。骨密度掃描（DEXA）一般建議 65 歲以上或高風險者才開始。護理師應針對個案風險評估，安排適當的 wellness checkup 項目。
Screening priorities for a 50-year-old woman include mammography for breast cancer (annually or biennially), blood pressure monitoring at every visit, and fasting glucose for diabetes (recommended from age 45). Pap smear frequency depends on prior history—every 3–5 years is acceptable for those with normal results, not annually. DEXA scan generally begins at 65 unless high risk.
美國與台灣在篩檢指引上略有差異，例如台灣健保提供 45-69 歲女性每兩年一次乳房攝影，而美國常規建議 40-50 歲起每年或每兩年一次。護理師應依循當地臨床指引。