— 健康促進與維護 · MEDIUM · MCQ —
護理師對氣喘個案採取哪項行動，代表正在促進其健康？
Which action shows a nurse is promoting health in a client with asthma?
- ATelling the client to avoid all forms of outdoor exercise告知病人避免所有形式的戶外運動
- BSuggesting that the client stop taking maintenance medications建議病人停止服用維持性藥物
- CEducating the client on identifying and avoiding common asthma triggers✓ 正解教育病人識別並避免常見的氣喘誘發因子
- DRecommending the client use an inhaler only when symptomatic建議病人僅在有症狀時使用吸入器
— Explanation · 中文詳解 —
氣喘管理關鍵在於「識別誘發因子（Trigger Identification）」。透過教育避免過敏原（如塵蟎、菸味），能有效降低發作率。A 錯誤：應評估後運動；D 錯誤：需區分緩解劑與控制器；B 錯誤：擅自停保養藥極危險。
The key to asthma management lies in trigger identification. Education on avoiding allergens (such as dust mites and cigarette smoke) effectively reduces the rate of attacks. A is incorrect: exercise should be undertaken after assessment. D is incorrect: relievers and controllers must be distinguished. B is incorrect: stopping maintenance medication on one's own is extremely dangerous.
✦ 台美臨床差異
美國有針對氣喘的 Action Plan 指引，台灣臨床醫師亦會開立詳細的氣喘衛教單張。