護理師對一位新診斷高血壓的病人進行出院衛教。病人下列哪項陳述顯示需要進一步的指導？
A nurse provides discharge teaching to a client with newly diagnosed hypertension. Which statement by the client indicates a need for further teaching?
- AI will limit my salt intake to 2 grams per day.我會將鹽分攝取量限制在每天 2 公克。
- BI will monitor my blood pressure at home every morning.我會每天早上在家監測血壓。
- CI should exercise at least 30 minutes most days of the week.我應該每週大多數日子進行至少 30 分鐘的運動。
- DI will stop taking my medication when my blood pressure is normal.✓ 正解當我的血壓正常時，我會停止服藥。
高血壓慢性病管理的重點在於用藥順從性與生活型態的改變。病人常有的誤區是認為血壓正常了就可以停藥，這會導致血壓反彈甚至引發中風。因此，正確的觀念是藥物必須長期服用以維持血壓穩定。護理師在衛教時應強調『血壓正常是因為藥物發揮作用』，而非病已痊癒。選項 A、C、B 均為正確的自我照護行為，包括限鹽、規律運動與自我監測。發現錯誤陳述並及時糾正，是確保病人安全與減少急性併發症的關鍵。
Management of chronic hypertension centers on medication adherence and lifestyle modification. A common patient misconception is that medication can be stopped once blood pressure normalizes, which leads to rebound hypertension and may precipitate stroke. The correct concept is that medications must be taken long-term to maintain stable blood pressure. The nurse should emphasize during teaching that 'blood pressure is normal because the medication is working,' not that the disease has been cured. Options A, C, and B all describe correct self-care behaviors, including sodium restriction, regular exercise, and self-monitoring. Identifying and correcting incorrect statements promptly is key to ensuring patient safety and reducing acute complications.
美國衛教更強調 DASH 飲食指引；台灣則較常將限鹽與傳統飲食文化結合說明，並強調避免使用高鈉調味料如醬油、味精等。NCLEX 常考『需要進一步衛教』的反向題型。