— 生理適應 · HARD · SATA —
護理師教導痛風病人自我照顧，下列哪些敘述顯示需要進一步衛教？（選所有適合的）
A nurse is teaching a client about self-care for chronic gout. Which statements by the client indicate a need for further instruction? (Select all that apply.)
- AI will drink at least 2 liters of water daily我會每天至少喝2公升的水
- BI will eat more organ meats to replace other protein✓ 正解我會多吃內臟類以取代其他蛋白質
- CI will limit my alcohol intake我會限制酒精攝取
- DI will take my medication only when I feel pain✓ 正解我只在感到疼痛時才服藥
- EI will avoid high-purine foods like shellfish我會避免食用高普林食物如貝類
— Explanation · 中文詳解 —
痛風病人應避免高普林食物（如內臟、紅肉），故 B 錯誤。痛風治療藥物（如 Allopurinol）需長期規律服用以預防發作，並非止痛藥，故 D 錯誤。水分攝取（A）可促進尿酸排除是正確的，限制酒精（C）與避免海鮮（E）也是正確衛教內容。
The client needs further instruction regarding eating organ meats, which are high in purines and can trigger gout attacks, and taking medication only when pain occurs. Urate-lowering therapies must be taken daily for prevention, not just during acute episodes.
✦ 台美臨床差異
美國對於痛風的飲食衛教常由營養師介入，台灣則多由護理師衛教。