— 藥理與非經腸給藥 · EASY · MCQ —
病人正使用毛地黃（Digoxin），護理師應視哪項發現為治療效果顯著？
Which assessment finding should the nurse recognize as a desired therapeutic outcome for a client receiving digoxin?
- AIncreased urinary output✓ 正解尿量增加
- BDecreased heart rate to 45 bpm心率降至 45 bpm
- CIncreased serum potassium血清鉀濃度升高
- DPresence of yellow-green halos出現黃綠色光暈
— Explanation · 中文詳解 —
Digoxin 的主要治療效果是改善心衰竭病人的心輸出量（cardiac output）。心輸出量提升後，腎臟灌流增加，腎小球過濾率（GFR）提升，進而使尿量增加，水腫改善。因此，對於心衰竭病人而言，尿量增加是毛地黃治療效果良好的重要臨床指標。其他選項如心率過慢、黃色光暈皆為中毒或過量徵兆，而該藥本身不直接影響血鉀數值。
Digoxin improves cardiac output, which enhances renal perfusion and glomerular filtration rate, leading to increased urine output and reduced edema. Therefore, increased urinary output is a key indicator of therapeutic efficacy in heart failure patients.