— 藥理與非經腸給藥 · EASY · MCQ —
護理師對開始服用 Furosemide 的病人進行衛教。哪項指導對於預防常見副作用最重要？
A nurse is educating a client starting Furosemide. Which instruction is most important to prevent a common adverse effect?
- AMonitor blood glucose levels daily每日監測血糖水平
- BAvoid exposure to direct sunlight避免暴露在陽光直射下
- CIncrease intake of potassium-rich foods✓ 正解增加富含鉀的食物攝取
- DTake the medication before bedtime在睡前服用藥物
— Explanation · 中文詳解 —
Furosemide 是一種排鉀利尿劑，長期服用會造成鉀離子流失，導致疲倦、抽筋甚至心律不整。透過衛教增加香蕉、橘子等高鉀食物攝取，能有效預防低血鉀症。睡前服用會導致夜尿干擾睡眠；陽光暴露與此藥副作用無直接強關聯。
Furosemide is a loop diuretic that promotes significant potassium excretion, making hypokalemia a common and potentially serious adverse effect. Educating the client to increase intake of potassium-rich foods helps maintain electrolyte balance and prevents complications such as muscle cramps and cardiac arrhythmias. While other side effects exist, managing potassium levels is the most critical dietary instruction.
✦ 台美臨床差異
台美均重視飲食指導，美國護理師更強調藥物對生活的干擾與藥物諮詢的連貫性。