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照護管理 · MEDIUM · SATA

護理師為心肌梗塞出院病人規劃照護,應優先考量哪些措施?(選所有適合的)

A nurse is planning discharge care for a client following a myocardial infarction. Which interventions should the nurse prioritize? (Select all that apply.)

  • AScheduling a follow-up appointment with the cardiologist✓ 正解
    安排與心臟科醫師的回診
  • BInstructing the client on how to read food labels for sodium content✓ 正解
    指導病人如何閱讀食品標籤上的鈉含量
  • CEncouraging the client to return to their normal high-stress work routine immediately
    鼓勵病人立即恢復原本高壓的工作常規
  • DEducating the client on recognizing symptoms of recurrent angina✓ 正解
    教育病人辨識復發性心絞痛的症狀
  • EProviding a list of local cardiac rehabilitation programs✓ 正解
    提供當地心臟復健計畫的名單
Explanation · 中文詳解

心肌梗塞病人出院需關注持續性的健康管理。A、B、D、E 皆為預防再次心臟事件的關鍵:回診追蹤、飲食鈉攝取控制、早期警訊辨識與參與復健。選項 C 錯誤,高壓力環境會誘發心臟負擔,需建議逐步恢復工作或調適壓力,不可要求立刻恢復高強度節奏。

Post-myocardial infarction discharge planning should prioritize interventions that reduce cardiac workload and prevent recurrence, such as sodium restriction and recognizing angina symptoms. Referrals to cardiac rehabilitation and scheduling follow-up appointments with a cardiologist are essential for long-term recovery and monitoring. Clients should avoid returning to high-stress activities immediately to prevent reinfarction.

✦ 台美臨床差異

美國 cardiac rehab 參與率高且為結構化計畫;台灣亦推廣,但受限於就醫習慣,病人參與意願與持續性仍待提升。

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