— 藥理與非經腸給藥 · HARD · MCQ —
護理師正給予抗心律不整藥物抗心律不整藥物（amiodarone）的靜脈輸注。病人哪項陳述表示有潛在的嚴重副作用，需要立即追蹤？
A nurse is administering an IV infusion of amiodarone. Which client statement indicates a potential serious adverse effect that requires immediate follow-up?
- A"My vision seems a bit blurry."「我的視力似乎有點模糊。」
- B"I feel a little tired."「我覺得有點疲倦。」
- C"I have a slight cough."「我有輕微咳嗽。」
- D"I'm experiencing shortness of breath."✓ 正解「我感到呼吸困難。」
— Explanation · 中文詳解 —
胺碘酮（Amiodarone）具有多種嚴重且長期的副作用，其中「肺毒性」（Pulmonary toxicity）最為危險，表現為間質性肺炎或肺纖維化。病人若主訴「呼吸困難」（Shortness of breath），必須立即評估以排除肺部併發症，這可能是致命的，需要立即通知醫師進行胸部 X 光或肺功能檢查。
Amiodarone has multiple severe and long-term side effects, of which pulmonary toxicity is the most dangerous, manifesting as interstitial pneumonitis or pulmonary fibrosis. If the patient reports shortness of breath, immediate assessment must be performed to rule out pulmonary complications, which may be fatal and require prompt notification of the physician to arrange a chest X-ray or pulmonary function testing.