— 藥理與非經腸給藥 · MEDIUM · SATA —
護理師正在教導一名新處方舌下硝酸甘油（NTG）的病人。護理師應包含下列哪些指導？（選所有適合的）
A nurse is teaching a client who has a new prescription for sublingual nitroglycerin (NTG). Which of the following instructions should the nurse include? (Select all that apply.)
- AKeep the tablets in their original amber glass bottle✓ 正解將藥片保存在原裝的琥珀色玻璃瓶中
- BDiscard any unused tablets after 6 months✓ 正解開瓶後六個月丟棄未使用的藥片
- CIf pain persists after 5 minutes of taking the first tablet, call 911✓ 正解服用第一顆藥片五分鐘後疼痛仍未緩解，請撥打911
- DSwallow the tablet with a small sip of water以小口水吞服藥片
- EYou may experience a headache after taking this medication✓ 正解服用此藥物後可能會出現頭痛
— Explanation · 中文詳解 —
NTG 衛教重點：1. 原裝瓶避光。2. 開封 6 個月後失效應丟棄。3. 第一劑 5 分鐘無效即打 911。4. 頭痛是常見副作用（血管擴張）。D 錯誤：應舌下含服而非吞服，吞服會因首渡效應（First-pass effect）失效。
Nitroglycerin tablets must be stored in their original amber glass container to protect them from light and heat, which degrade the medication. Clients should discard any unused tablets six months after opening the bottle, as potency decreases over time, and be aware that headaches are a common side effect due to vasodilation.
✦ 台美臨床差異
美國急救電話是 911，台灣是 119；此外，美國對藥物保存期限的衛教在 NCLEX 中非常嚴格。