— 健康促進與維護 · EASY · MCQ —
護理師與高齡個案討論安全用藥。哪種作法是被建議的？
A nurse is discussing safe medication use with an older client. Which practice is recommended?
- ACrush all pills to make them easier to swallow將所有藥丸壓碎以便吞服
- BStop medication as soon as symptoms improve症狀改善後立即停藥
- CShare medications with friends who have similar symptoms與有類似症狀的朋友分享藥物
- DUse one pharmacy for all prescriptions✓ 正解所有處方箋均至同一藥局領取
— Explanation · 中文詳解 —
集中在一家藥局領藥，可讓藥師系統性檢查重複用藥或交互作用（Polypharmacy prevention）。C 錯誤：藥物具有針對性；A 錯誤：有些錠劑不能壓碎（如緩釋劑型）；B 錯誤：慢性病用藥需按療程服用，不可擅自停藥。
Using a single pharmacy for all prescriptions allows the pharmacist to systematically check for duplicate medications and interactions (polypharmacy prevention). C is incorrect: medications are individualized; A is incorrect: some tablets cannot be crushed (such as extended-release formulations); B is incorrect: medications for chronic conditions must be taken for the full course and not stopped on the client's own.
✦ 台美臨床差異
美國推廣「Medication Reconciliation」流程，並鼓勵病人主動攜帶藥袋諮詢；台灣則鼓勵健保雲端藥歷管理。