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照護管理 · MEDIUM · MCQ

心肌梗塞出院病人的敘述中,哪一項顯示需要「進一步」的藥物衛教?

A nurse is caring for a client who is being discharged after a myocardial infarction. Which statement by the client indicates a need for further teaching about their medications?

  • AI will take my baby aspirin every morning.
    我每天早上會服用低劑量阿斯匹靈。
  • BI will call the doctor if I develop a dry cough from my ACE inhibitor.
    如果我因使用 ACE 抑制劑而出現乾咳,我會打電話給醫師。
  • CI'll stop taking my statin once my cholesterol is normal.✓ 正解
    一旦我的膽固醇指數正常,我就會停止服用他汀類藥物。
  • DI need to check my pulse before taking my beta-blocker.
    我在服用乙型阻斷劑之前需要檢查脈搏。
Explanation · 中文詳解

降血脂藥物(Statins)通常需要長期服用以維持血管穩定,即使檢驗數值正常也不可自行停藥,否則會增加再梗塞風險。A(每日阿斯匹靈)、B(ACEI 副作用乾咳需回報)及 D(乙型阻斷劑需監測心率)均為正確的服藥認知。找出錯誤的觀念是評估衛教成效的關鍵。

Lipid-lowering medications (statins) generally require long-term use to maintain vascular stability; even when laboratory values are normal the client should not stop the drug independently, as this increases the risk of recurrent infarction. Options A (daily aspirin), B (reporting dry cough as an ACE inhibitor side effect), and D (checking the pulse before a beta-blocker) all reflect correct medication knowledge. Identifying the misconception is the key to evaluating the effectiveness of teaching.

✦ 台美臨床差異

美國護理師在出院衛教(Discharge teaching)扮演主導角色;台灣則由醫師與護理師共同負責,但藥物依從性衛教是護理重點。

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