— 照護管理 · EASY · MCQ —
護理師為即將出院的華法林抗凝血劑使用者進行指導，下列哪項行動最優先？
A nurse is caring for a client who is being discharged with a prescription for warfarin. Which action by the nurse is the priority?
- AAdvise the client to avoid aspirin and NSAIDs unless prescribed建議病人除非經處方，否則避免使用阿斯匹靈與非類固醇抗發炎藥物
- BInform the client about the importance of regular INR blood monitoring✓ 正解告知病人定期監測 INR 血液檢查的重要性
- CTeach the client to consistently consume green leafy vegetables教導病人應恆定攝取綠色葉菜類蔬菜
- DInstruct the client to use a soft-bristled toothbrush指示病人使用軟毛牙刷
— Explanation · 中文詳解 —
華法林（Warfarin）是一種維生素 K 拮抗劑，其藥效受飲食中維生素 K 攝取量及多種藥物影響，且治療窗（Therapeutic window）狹窄。臨床優先事項是確保病人理解定期監測 INR 的重要性，以調整劑量。缺乏 INR 追蹤將使病人處於血栓（INR 過低）或出血（INR 過高）的危險中，這在出院衛教中是生存攸關（Safety）的議題。
The priority for a client prescribed warfarin is understanding the necessity of regular INR monitoring to maintain therapeutic levels within a narrow window. Without consistent monitoring, the client is at high risk for life-threatening complications such as thrombosis or hemorrhage, making this education critical for safety.