— 藥理與非經腸給藥 · EASY · MCQ —
病人被開立 Lisinopril 治療高血壓。護理師於初步評估時，應優先確認何項發現？
A client is prescribed Lisinopril for hypertension. Which assessment finding should the nurse prioritize during the initial evaluation?
- AHistory of mild seasonal allergies輕微季節性過敏史
- BCurrent pregnancy status✓ 正解目前懷孕狀況
- CPresence of a persistent dry cough持續性乾咳
- DFrequency of potassium-rich food intake富含鉀食物的攝取頻率
— Explanation · 中文詳解 —
Lisinopril 屬於 ACE 抑制劑，是常見的抗高血壓藥物。此類藥物具有顯著的致畸胎性（Teratogenic），若孕婦服用，會導致胎兒腎功能發育不全、羊水過少甚至死亡。因此，針對育齡女性開立此藥前，必須優先確認懷孕狀態。雖然乾咳是常見的副作用，但不會立即危及性命，安全性評估永遠優先於症狀管理。
Lisinopril is an ACE inhibitor commonly used for hypertension. This class is highly teratogenic; if a pregnant client takes it, fetal renal hypoplasia, oligohydramnios, or death may occur. Therefore, pregnancy status must be confirmed before prescribing to women of childbearing age. Although dry cough is a common side effect, it is not immediately life-threatening, and safety assessment takes priority over symptom management.