— 降低風險 · EASY · MCQ —
護理師為一位老年病人進行身體評估,哪項發現是與老化相關且可能增加損傷風險的?
A nurse is performing a physical assessment on an older client. Which finding is an age-related change that may increase the risk of injury?
- AIncreased skin turgor皮膚彈性增加
- BIncreased muscle mass肌肉質量增加
- CDecreased visual acuity and depth perception✓ 正解視力敏銳度與深度感知下降
- DFaster reaction time反應時間加快
— Explanation · 中文詳解 —
老年人隨著生理機能退化,視力與深度覺(Depth perception)的減退會嚴重影響空間判斷力,是導致跌倒(Fall)最常見的內在風險因子。護理師在評估長者時,應特別關注其感覺系統的退化情況。其他選項如皮膚彈性增加、肌肉質量增加或反應速度變快,均與老化生理現象背道而馳,老化表現通常為皮膚乾燥變薄、肌肉萎縮及反應變慢。
Age-related physiological changes include decreased visual acuity and depth perception, which significantly impair spatial judgment and increase the risk of falls. Other options describe changes opposite to normal aging, such as increased skin turgor or faster reaction times.