— 照護管理 · MEDIUM · SATA —
護理師指導病人服用 Warfarin 出院，哪幾句敘述代表需進一步衛教？（複選）
A nurse is preparing to discharge a client with a new prescription for warfarin. Which client statements indicate a need for further teaching? (Select all that apply.)
- AI will take an aspirin if I get a headache✓ 正解如果我頭痛，我會服用阿斯匹靈
- BI will use a soft-bristled toothbrush for oral hygiene我會使用軟毛牙刷進行口腔清潔
- CI will increase my intake of dark green leafy vegetables✓ 正解我會增加深色葉菜類的攝取量
- DI will report any unusual bruising or bleeding to my provider我會向醫師報告任何異常的瘀青或出血
- EI will use an electric shaver for shaving我會使用電動刮鬍刀刮鬍
— Explanation · 中文詳解 —
Warfarin 是一種維生素 K 拮抗劑（Vitamin K antagonist），透過抑制肝臟合成凝血因子來達到抗凝血效果。衛教重點在於「出血預防」與「維持藥效穩定」。病人需避免服用會增加出血風險的藥物（如 Aspirin），並需維持維生素 K 攝取量的恆定，避免飲食大幅變動影響 INR（國際標準化比值）。護理師需評估病人是否理解這些關鍵限制，以降低嚴重的出血併發症風險。
Warfarin is a vitamin K antagonist, so patients must maintain a consistent intake of vitamin K-rich foods to stabilize their INR levels rather than increasing consumption. Additionally, aspirin should be avoided as it increases bleeding risk; therefore, statements indicating these misunderstandings require further teaching.