— 降低風險 · MEDIUM · MCQ —
護理師正在照顧一位有跌倒病史的病人。該病人被處方使用利尿劑。給予下一劑前，護理師必須評估什麼？
A nurse is caring for a client with a history of falls. The client is prescribed a diuretic. Which assessment is crucial before administering the next dose?
- AClient's skin turgor病人的皮膚彈性
- BClient's bowel sounds病人的腸鳴音
- CClient's blood pressure✓ 正解病人的血壓
- DClient's respiratory rate病人的呼吸頻率
— Explanation · 中文詳解 —
利尿劑（如 Furosemide）會促進尿液排泄，導致血管內容積減少。對於有跌倒病史的病人，藥物可能引發姿態性低血壓（Orthostatic hypotension），導致病人站立時出現頭暈、平衡感喪失而增加跌倒風險。給藥前評估血壓，確保病人血壓在安全範圍，並教導病人緩慢起身，是預防跌倒的重要護理行動。
Diuretics reduce vascular volume and can cause orthostatic hypotension, significantly increasing the risk of falls in clients with a history of falling. Therefore, assessing the client's blood pressure before administering the next dose is crucial to ensure it remains within a safe range. This assessment helps prevent dizziness and balance loss upon standing.