— 藥理與非經腸給藥 · EASY · MCQ —
護理師衛教服用鐵劑的病人。哪項建議正確？
A nurse is teaching a client taking iron supplements. What instruction is appropriate?
- ATake with a calcium supplement與鈣補充劑一起服用
- BTake just before bedtime在睡前立即服用
- CExpect stools to be dark or green✓ 正解預期糞便顏色會變深或呈綠色
- DTake with milk to reduce stomach upset與牛奶同服以減少胃部不適
— Explanation · 中文詳解 —
鐵劑（Iron supplements）常見的副作用包括腸胃道不適（如噁心、腹痛）以及糞便顏色改變。護理師必須衛教病人，服用鐵劑後糞便呈現深綠色或黑色是正常現象，避免病人因過度擔心而自行停藥。此外，為了增加吸收效率，建議空腹服用，若胃部不適，則可隨餐服用，但應避免與鈣片、牛奶、制酸劑或咖啡因同時攝取，因為這些物質會抑制鐵的吸收。
Clients should be instructed that dark or greenish-black stools are a normal, harmless side effect of iron supplementation. To maximize absorption, iron should ideally be taken on an empty stomach with vitamin C, avoiding dairy products, calcium, or antacids which inhibit uptake.