— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人服用苯妥英（Phenytoin）。哪項口腔衛教為優先？
A client is taking phenytoin. Which oral hygiene instruction is priority?
- AMassage gums daily每日按摩牙齦
- BUse an electric toothbrush使用電動牙刷
- CRegular dental check-ups and flossing✓ 正解定期牙科檢查與使用牙線
- DUse fluoride mouthwash使用含氟漱口水
— Explanation · 中文詳解 —
苯妥英（Phenytoin）是一種抗癲癇藥物，其常見且顯著的長期副作用為齒齦增生（Gingival hyperplasia），這會導致牙齦紅腫、出血甚至妨礙進食。因此，嚴格的口腔衛生教育是照護重點。護理師應教導病人使用軟毛刷、牙線及定期進行牙科檢查，以維持口腔清潔並減少牙齦發炎的機會，進而減緩增生情況。
Phenytoin is an antiepileptic medication whose common and prominent long-term adverse effect is gingival hyperplasia, which can cause gum redness, swelling, bleeding, and even interfere with eating. Strict oral hygiene education is therefore the focus of care. The nurse should teach the client to use a soft-bristled toothbrush and floss and to have regular dental check-ups to maintain oral cleanliness, reduce gum inflammation, and slow the progression of hyperplasia.