— 照護管理 · MEDIUM · MCQ —
一位 25 歲病患出院，處方包含新抗生素。病患說出下列哪句話時，代表需要進一步指導？
A 25-year-old client is being discharged with a prescription for a new antibiotic. Which statement by the client indicates a need for further teaching?
- AI will take my remaining doses as soon as I feel better to save money.✓ 正解我一感覺好轉就會服用剩餘劑量以節省費用
- BI will take this medicine until it is all gone, even if I feel better.即使我感覺好轉，我也會將藥物全部吃完
- CI will call the doctor if I develop a rash or breathing difficulty.如果我出現皮疹或呼吸困難，我會打電話給醫師
- DI will avoid alcohol while taking this specific medication.在服用這特定藥物期間，我會避免飲酒
— Explanation · 中文詳解 —
抗生素必須完整服用療程（Completed as prescribed）以防止抗藥性細菌滋生。選項 A 表示病患打算未服完療程即停藥，這是抗生素衛教中的大忌，必須進行額外指導。其餘選項均正確：服完藥、注意過敏反應、避開酒精交互作用都是良好的用藥行為。
The most therapeutic response acknowledges the client's delusion without validating its reality or challenging it aggressively. Exploring the feelings behind the statement helps build rapport and allows the nurse to address underlying emotional needs safely.
✦ 台美臨床差異
美台抗生素濫用皆為嚴重問題，護理師衛教抗生素完整服用療程是兩地共同的臨床品質指標。