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。
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.
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。