— 生理適應 · HARD · MCQ —
一位甲狀腺功能亢進病人正接受 propylthiouracil 治療。病人說出哪句話表示對藥物有正確理解？
A client is diagnosed with hyperthyroidism and is being treated with propylthiouracil. Which statement by the client indicates an understanding of the medication?
- AI will report any signs of a sore throat or fever✓ 正解我會回報任何喉嚨痛或發燒的跡象
- BI will increase my intake of iodine-rich foods我會增加富含碘食物的攝取
- CI will take this medicine on an empty stomach我會空腹服用此藥物
- DI will stop the medication if I gain weight如果我體重增加，我會停止用藥
— Explanation · 中文詳解 —
Propylthiouracil（PTU）最嚴重的副作用是無顆粒球症（agranulocytosis），這會降低免疫力，表現為喉嚨痛、發燒等感染徵兆。病人必須了解這項風險並立即回診。PTU 與進食無關，需限制含碘食物，且不可自行停藥。
The most serious adverse effect of propylthiouracil (PTU) is agranulocytosis, which compromises immunity and presents as sore throat and fever. Clients must understand this risk and return immediately if it occurs. PTU is not specifically related to meals, iodine-rich foods must be limited, and the drug must not be discontinued abruptly without provider guidance.
✦ 台美臨床差異
美國護理師常主導病人的藥物衛教課程；台灣則多由醫師與藥師共同完成，護理師的角色偏向確認病人是否理解副作用。