護理師正在為病人進行用藥核對，下列哪些行為顯示病人需要進一步衛教？（選所有適合的）
A nurse is conducting a medication reconciliation for a client. Which of the following client actions indicate a need for further teaching? (Select all that apply.)
- ACrushing extended-release (ER) medications to make them easier to swallow✓ 正解將長效釋劑型（ER）藥物磨碎以便吞服
- BTaking antacids within 30 minutes of taking other daily medications✓ 正解在服用其他每日用藥前後 30 分鐘內服用制酸劑
- CStoring medications in the bathroom medicine cabinet✓ 正解將藥物存放在浴室藥櫃中
- DUsing a pill organizer to manage multiple daily medications使用藥盒來管理每日多種用藥
- EStopping pain medication immediately when the pain is gone✓ 正解疼痛消失時立即停止服用止痛藥
用藥安全包含劑型特性與存放環境。延長釋放（ER）藥物不可磨碎，會導致藥物過量釋放。制酸劑會影響其他藥物吸收，應間隔服用。浴室潮濕會損壞藥效。疼痛藥物應根據醫囑遞減或按需使用，自行停藥可能引發戒斷症狀或疼痛回彈。使用藥盒為正確安全行為。
Medication safety encompasses dosage-form characteristics and storage conditions. Extended-release (ER) medications must not be crushed, as this leads to dose dumping and overdose. Antacids can interfere with the absorption of other medications and must be spaced apart from them. A humid bathroom environment can degrade medications. Pain medications should be tapered or used as prescribed; abrupt self-discontinuation can cause withdrawal symptoms or rebound pain. Using a medication organizer (pill box) is a correct and safe practice.
美國非常強調 Medication Reconciliation（用藥核對）流程的法律責任；台灣近期亦導入藥師參與的核對機制，但護理師仍是最後守門人。