— 降低風險 · MEDIUM · MCQ —
護理師為一位高齡病人進行用藥整合，哪項發現需要針對跌倒預防採取特定行動？
A nurse is conducting a medication reconciliation for an elderly client. Which finding requires the nurse to take specific action regarding fall prevention?
- ACurrent prescription of a benzodiazepine✓ 正解目前處方苯二氮平類藥物
- BTaking a daily multivitamin每日服用綜合維生素
- CUse of topical antibiotic ointment使用局部抗生素藥膏
- DDaily intake of fiber supplements每日攝取纖維補充劑
— Explanation · 中文詳解 —
苯二氮平類藥物（Benzodiazepines）在老年人中會導致鎮靜、認知功能下降與步態不穩，是造成老年人跌倒的高風險因子。護理師必須評估用藥必要性，並衛教病人預防跌倒。其餘藥物如維生素、抗生素軟膏或纖維補充劑，與跌倒風險直接關聯性極低。
Benzodiazepines can cause sedation, confusion, and impaired motor coordination in elderly clients, significantly increasing their risk of falls. The nurse should evaluate the necessity of this medication and implement fall prevention strategies, whereas vitamins, topical antibiotics, and fiber supplements do not pose similar risks.
✦ 台美臨床差異
美國醫學界目前非常強調 BEERS Criteria（高齡者不適當用藥清單），台灣臨床亦開始推動，但系統性用藥評估與篩檢的普及度仍有成長空間。