— 藥理與非經腸給藥 · MEDIUM · SATA —
護理師向心臟衰竭病人進行出院指導，應包含哪些內容？（選所有適合的）
A nurse is reviewing discharge instructions for a client with heart failure. Which instruction should the nurse include? (Select all that apply.)
- AWeigh yourself daily at the same time each morning✓ 正解每天早晨同一時間稱重
- BLimit fluid intake to 2 liters per day✓ 正解將液體攝取量限制在每天2公升以內
- CDiscontinue diuretics if dizziness occurs若出現頭暈則停止服用利尿劑
- DReport weight gain of more than 2 lbs in 24 hours✓ 正解若24小時內體重增加超過2磅則回報
- EReduce sodium intake to less than 2 g per day✓ 正解將鈣質攝取量減少至每天少於2公克
— Explanation · 中文詳解 —
心衰竭出院四大重點：每日量體重（監測液體滯留最敏感指標）、限水 1.5-2 L/day、限鈉 <2 g/day、體重 24 小時增加 >2 lbs 立即回報。C 錯誤：頭暈不可自行停利尿劑，應調整起身速度或回診，擅自停藥導致液體堆積。
Effective heart failure management includes daily weight monitoring to detect early fluid retention, limiting fluid intake to 2 liters, restricting sodium to less than 2 grams, and reporting weight gains over 2 pounds in 24 hours. Patients must be instructed never to discontinue diuretics independently, as this can lead to acute decompensation and fluid overload.
✦ 台美臨床差異
美國護理師主導心衰竭病例管理門診；台灣以醫師為主，護理師衛教時間較短，返家後結構化追蹤較少。