— 健康促進與維護 · MEDIUM · MCQ —
護理師評估一位 75 歲病人的防跌措施，下列哪項發現需優先與醫師討論？
A nurse is assessing a 75-year-old client for fall prevention. Which assessment finding is a priority to discuss with the healthcare provider?
- APatient has non-slip rugs in the bathroom病人在浴室使用防滑地毯
- BPresence of multiple medications including benzodiazepines✓ 正解服用多種藥物，包括苯二氮平類
- CPatient reports using a nightlight in the hallway病人表示在走廊使用小夜燈
- DPatient wears supportive, closed-toe shoes病人穿著支撐性良好且包頭的鞋子
— Explanation · 中文詳解 —
跌倒風險評估中，藥物（特別是苯二氮平類鎮靜安眠藥）會造成認知混亂、平衡感下降，是極高風險因素，必須優先處理與評估是否減藥或更換處方。其餘選項皆為良好的安全環境建議，能有效降低跌倒發生率，非優先討論事項。
Multiple medications, particularly benzodiazepines, significantly increase fall risk in older adults due to sedation and impaired balance. This finding is a priority for discussion with the healthcare provider to evaluate the need for dosage adjustment or alternative therapies. Environmental modifications like nightlights and non-slip rugs are supportive measures but do not address the primary pharmacological risk.
✦ 台美臨床差異
美國護理師常進行居家跌倒評估（Home Assessment）；台灣則多由物理治療師或出院準備個管師協助規劃。