— 照護管理 · MEDIUM · SATA —
護理師為新開立 Warfarin 的病人進行出院指導。下列哪些病人的敘述顯示需要進一步教育？（選所有適合的）
A nurse is discharging a client who received a new prescription for warfarin. Which client statements indicate a need for further education? (Select all that apply.)
- AI will eat a large salad with dark leafy greens every day✓ 正解我每天都會吃一大盤深色葉菜沙拉
- BI should use a soft-bristled toothbrush for my teeth我應該使用軟毛牙刷刷牙
- CI will avoid taking aspirin or ibuprofen without consulting my doctor未經諮詢醫師，我不會服用阿斯匹靈或布洛芬
- DI need to take my medication at the same time each day我需要每天在同一時間服藥
- EI will take an extra dose if I miss one, as long as it is within 24 hours✓ 正解如果我漏服一劑，只要在24小時內我會補服額外一劑
— Explanation · 中文詳解 —
Warfarin 的衛教重點為飲食穩定（攝取過多維生素 K 會減弱藥效）以及嚴格遵守服藥劑量。漏服藥物不可自行加倍補充，以免藥物濃度波動過大。使用軟毛刷與避免服用非類固醇抗發炎藥物皆為正確的抗凝血照護行為。
Statements indicating a need for further education include consuming excessive amounts of vitamin K-rich foods and doubling missed warfarin doses. Both actions can dangerously alter anticoagulation levels, increasing the risk of bleeding or clotting.
✦ 台美臨床差異
美國藥師在衛教中扮演重要角色；台灣護理師通常需詳細說明飲食限制與採血檢測之重要性。