— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人獲處方 Atorvastatin 治療高血脂，哪項評估最相關？
A client is prescribed atorvastatin for hyperlipidemia. Which nursing assessment is most relevant?
- ACheck blood pressure測量血壓
- BAssess vision changes評估視力變化
- CMonitor for muscle pain✓ 正解監測肌肉疼痛
- DMonitor for peripheral edema監測周邊水腫
— Explanation · 中文詳解 —
Atorvastatin 屬於 Statin 類降血脂藥物，其藥理機轉為抑制 HMG-CoA 還原酶。雖然該藥物能有效降低 LDL，但其潛在的副作用—橫紋肌溶解症（Rhabdomyolysis）具有高度危險性。護理師必須教育病人監測並回報任何不明原因的肌肉疼痛、壓痛或無力感，這可能是藥物引發肌肉細胞損傷的早期警訊。
Atorvastatin is a statin lipid-lowering medication that works by inhibiting HMG-CoA reductase. Although it effectively lowers LDL, its potential adverse effect of rhabdomyolysis is highly dangerous. The nurse must educate the patient to monitor for and report any unexplained muscle pain, tenderness, or weakness, as these may be early warning signs of drug-induced muscle cell injury.