— 藥理與非經腸給藥 · MEDIUM · MCQ —
護理師給予環利尿劑。哪項病人陳述顯示需要額外的衛教？
A nurse is administering a loop diuretic. Which client statement indicates the need for further education?
- AI will report a weight gain of 3 lbs in a day我會報告一天內體重增加 3 磅
- BI will eat more foods high in potassium✓ 正解我會多吃富含鉀的食物
- CI will monitor my weight daily我會每天監測我的體重
- DI will get up slowly from a chair我會從椅子上慢慢站起來
— Explanation · 中文詳解 —
環利尿劑（如 Furosemide）會顯著排鉀，衛教應鼓勵攝取高鉀食物（banana, potatoes, greens）。若病人表示需要「更多衛教」，可能是因為他不理解為何需要補充，或誤以為不需補鉀。
Loop diuretics promote significant potassium excretion, so clients should be educated to consume potassium-rich foods to prevent hypokalemia. A statement indicating a need for further teaching suggests the client misunderstands this requirement or fails to recognize the risk of potassium depletion associated with this medication class.
✦ 台美臨床差異
台美兩地皆重視利尿劑使用後的電解質追蹤，以防電解質不平衡。