— 健康促進與維護 · MEDIUM · MCQ —
在老年個案的評估中，護理師應優先關注哪項發現以預防跌倒？
Which assessment finding in an elderly client should the nurse prioritize to prevent accidental falls?
- APreference for wearing slippers indoors偏好室內穿拖鞋
- BUse of multiple medications including sedatives✓ 正解使用多種藥物，包括鎮靜劑
- CHistory of mild seasonal allergies輕微季節性過敏史
- DPresence of a carpet in the living room客廳鋪設地毯
— Explanation · 中文詳解 —
在老年照護中，跌倒風險評估（Fall Risk Assessment）是護理安全的核心。藥物（尤其是鎮靜劑、安眠藥、抗高血壓藥）會影響個案的認知功能、步態穩定性與反應速度，是導致跌倒最直接且可干預的生理危險因子。雖然環境因素（如地毯）也很重要，但藥物引起的生理變化對個案平衡感的破壞更為顯著，護理師應優先評估並檢視藥物清單。
Polypharmacy, particularly the use of sedatives, is a primary physiological risk factor for falls in the elderly as it impairs balance, cognition, and reaction time. While environmental hazards like carpets or inappropriate footwear contribute to risk, medication-induced instability is often the most significant and modifiable cause. Therefore, reviewing the medication list to identify sedating drugs should be the nurse's highest priority.