— 降低風險 · MEDIUM · SATA —
護理師教導病人關於鋰鹽治療。哪些內容應納入指導？（選所有適合的）
A nurse is teaching a client about lithium therapy. Which should be included in the teaching? (Select all that apply.)
- AMaintain adequate fluid intake✓ 正解維持充足的水分攝取
- BAvoid salt intake changes✓ 正解避免鹽分攝取量的改變
- CMonitor for symptoms of toxicity✓ 正解監測中毒症狀
- DTake the medication with an empty stomach空腹服藥
- ELimit exercise to prevent sweating限制運動以防止出汗
— Explanation · 中文詳解 —
鋰鹽（Lithium）的治療指數極窄，且其代謝與體內鈉離子平衡高度相關。若鈉攝取量大幅變動或水分攝取不足，極易導致鋰離子累積而引發鋰中毒（Lithium Toxicity）。護理衛教重點在於維持規律的飲食（特別是鹽分）與水分攝取，並教導病人辨識鋰中毒的早期徵象（如震顫、噁心、腹瀉、視力模糊等），以利及時就醫。
Because lithium has a narrow therapeutic index and its excretion is closely tied to sodium balance, clients must maintain consistent fluid and salt intake to prevent toxicity. Nurses should teach clients to monitor for early signs of lithium toxicity, such as tremors, nausea, or blurred vision, and to report them immediately.