— 藥理與非經腸給藥 · MEDIUM · SATA —
病人正在使用抗凝血劑，護理師應監測哪些出血徵兆？（選所有適合的）
A client is receiving an anticoagulant. Which signs of bleeding should the nurse monitor for? (Select all that apply.)
- AEpistaxis✓ 正解鼻出血
- BGingival bleeding✓ 正解牙齦出血
- CHematuria✓ 正解血尿
- DPetechiae✓ 正解瘀點
- EExcessive thirst過度口渴
— Explanation · 中文詳解 —
抗凝血劑會增加出血風險。流鼻血（Epistaxis）、牙齦出血（Gingival bleeding）、血尿（Hematuria）及皮膚出現瘀點（Petechiae）都是常見的臨床出血徵象，需立即通報。極度口渴與出血無直接關聯。
Anticoagulants increase the risk of bleeding, so the nurse must monitor for signs such as epistaxis, gingival bleeding, hematuria, and petechiae. These indicators reflect systemic anticoagulation effects or capillary hemorrhages. Excessive thirst is not associated with bleeding and does not require immediate notification in this context.
✦ 台美臨床差異
兩地對出血症狀的監測評估標準一致。