— 健康促進與維護 · MEDIUM · MCQ —
護理師照顧一位頻繁居家跌倒的長者，應優先進行哪項評估以預防未來傷害？
A nurse is caring for an older adult client who reports frequent falls at home. Which assessment should the nurse prioritize to prevent future injuries?
- APerforming a neurological exam進行神經學檢查
- BEvaluating home lighting conditions評估居家照明條件
- CAssessing visual acuity評估視力
- DReviewing current medication list✓ 正解檢視目前用藥清單
— Explanation · 中文詳解 —
長者跌倒通常是多因子造成的，其中「藥物」是排第一位的可修正危險因子。許多長者服用多種藥物（多重用藥，Polypharmacy），特別是鎮靜劑、降壓藥或利尿劑，極易導致姿位性低血壓、認知混亂或步態不穩。護理師必須優先審視用藥清單，與醫師討論是否調整藥物以降低跌倒風險，這是安全護理中最具高報酬的介入措施。
Reviewing the current medication list is the priority intervention because polypharmacy and drug side effects are leading, modifiable causes of falls in older adults. While vision and home environment are factors, addressing pharmacological triggers offers the highest potential for injury prevention.