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照護管理 · EASY · MCQ

護理師教導病人如何管理高血壓,病人說出下列哪句話表示需要進一步教導?

A nurse is educating a client about managing hypertension. Which statement by the client indicates a need for further teaching?

  • A"I will try to reduce my sodium intake."
    "我會試著減少鈉的攝取。"
  • B"If my blood pressure is normal, I can stop taking my medication."✓ 正解
    "如果我的血壓正常,我可以停止服藥。"
  • C"I need to take my blood pressure medication every day, even if I feel fine."
    "我需要每天服用降血壓藥物,即使我覺得身體沒問題。"
  • D"I plan to start a regular exercise program."
    "我計劃開始規律運動。"
Explanation · 中文詳解

高血壓(hypertension)是一種典型的「隱形殺手」,通常無症狀。病人常因自覺「感覺良好」而擅自停藥,這是造成血壓反彈及併發症(如中風、心肌梗塞)的主要原因。護理師必須教育病人,降血壓藥物是長期控制血壓的基石,而非僅用於緩解症狀。若病人認為血壓正常即可停藥,顯示其對高血壓慢性病理機制的理解不足,需要進一步進行衛教。

Hypertension is a classic 'silent killer' and is often asymptomatic. Clients commonly stop their medication on their own because they 'feel fine,' which is a primary cause of rebound hypertension and complications such as stroke and myocardial infarction. The nurse must educate the client that antihypertensive medications are the foundation of long-term blood pressure control rather than symptomatic relief. If the client believes that once blood pressure normalizes the medication can be stopped, this reflects a poor understanding of the chronic pathophysiology of hypertension and indicates the need for further teaching.

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