護理師正在指導一位愛迪生氏病（Addison's disease）病人如何管理疾病。病人下列哪些陳述顯示需要「進一步」衛教？（選所有適合的）
A nurse is teaching a client with Addison's disease about managing their condition. Which of the following statements by the client indicates a need for further teaching? (Select all that apply.)
- AI should wear a medical alert bracelet at all times我應該隨時佩戴醫療警示手鍊
- BI will need to increase my medication dose during times of stress在壓力時期我需要增加藥物劑量
- CI should follow a low-sodium diet to prevent fluid retention✓ 正解我應該遵循低鈉飲食以防止液體滯留
- DI can stop taking my prednisone if I feel my symptoms have improved✓ 正解如果我覺得症狀改善了，我可以停止服用潑尼松龍
- EI should carry an emergency injectable hydrocortisone kit我應該攜帶緊急注射用的氫化可的松套組
愛迪生氏病（原發性腎上腺皮質功能不全）的病人缺乏皮質醇（Cortisol）和醛固酮（Aldosterone）。醛固酮不足會導致鈉離子流失與鉀離子滯留，因此病人需要「高鈉」飲食而非「低鈉」（C 錯誤，需衛教）。此外，類固醇替代療法是終身的，絕不可擅自停藥，否則會誘發致命的腎上腺危機（Addisonian Crisis）（D 錯誤，需衛教）。正確的觀念包括：配戴醫療識別手鍊（A）、在壓力或手術期間增加劑量（Stress dosing）（B），以及隨身攜帶緊急注射組（E）。此題為「負面考法」，需選出錯誤的描述，這在 NCLEX 中非常考驗學生的細心度與對疾病生理機轉的理解。
Clients with Addison's disease require a high-sodium diet due to aldosterone deficiency, making a low-sodium recommendation incorrect. Glucocorticoid therapy is lifelong, and abrupt discontinuation can trigger a life-threatening adrenal crisis, so self-adjustment is unsafe. Correct management includes wearing medical alert identification, increasing doses during stress, and carrying emergency injectable steroids.
美國護理教育非常強調「Patient Empowerment」，會訓練病人自行調整劑量的邏輯與注射技術；台灣醫療環境中，病人通常較依賴醫師指示，對於「自行調整劑量」的教育可能較為保守，但在居家照護安全上，兩地標準一致。