— 照護管理 · MEDIUM · SATA —
護理師準備協助一位剛開始服用華法林（Warfarin）的病人出院，下列哪些行動能確保照護轉換的安全性？（選所有適合的）
A nurse is preparing to discharge a client with a new prescription for warfarin. Which actions should the nurse take to ensure safe transition of care? (Select all that apply.)
- AVerify the client has a follow-up appointment for INR monitoring✓ 正解確認病人有安排門診追蹤以監測 INR
- BInstruct the client to avoid sudden increases in green leafy vegetable intake✓ 正解指導病人避免突然增加深綠色蔬菜的攝取量
- CProvide a list of signs of bleeding to report immediately✓ 正解提供一份需立即回報的出血徵兆清單
- DDelegate medication reconciliation to the family member將藥物核對工作委派給家屬
- EEnsure the client understands the importance of taking the medication at the same time daily✓ 正解確保病人了解每天固定時間服藥的重要性
— Explanation · 中文詳解 —
Warfarin 治療需要嚴格的監控，病人教育是確保安全的關鍵。INR 監控、飲食維生素 K 維持穩定、出血徵象辨識及定時服藥是標準指導內容。用藥核對（Medication reconciliation）屬於專業醫療行為，不可委派給家屬。
Warfarin therapy requires strict monitoring, and patient education is the key to ensuring safety. INR monitoring, maintaining stable dietary vitamin K intake, recognition of bleeding signs, and timely medication administration are standard teaching contents. Medication reconciliation is a professional medical activity and cannot be delegated to family members.
✦ 台美臨床差異
美國醫院多有藥師介入出院指導，台灣則多由護理師負責衛教與檢查追蹤預約。