護理師為一位剛診斷為高血壓的病人準備出院。下列哪些護理措施適合納入出院計畫?(選所有適合的)
A nurse is preparing to discharge a client with a new diagnosis of hypertension. Which nursing actions are appropriate to include in the discharge plan? (Select all that apply.)
- AInstruct the client on how to monitor and log blood pressure readings at home✓ 正解指導病人如何監測並記錄家中的血壓讀數
- BTeach the client to recognize symptoms of orthostatic hypotension✓ 正解教導病人辨識姿勢性低血壓的症狀
- CAdvise the client to stop taking antihypertensive medications if BP is normal建議病人在血壓正常時停止服用降血壓藥物
- DProvide education on low-sodium dietary modifications✓ 正解提供關於低鈉飲食調整的教育
- ERecommend daily physical activity as tolerated by the provider✓ 正解建議在醫師允許的情況下進行每日體育活動
高血壓慢性病管理重點在於生活型態調整與藥物依從性。監測血壓是評估治療成效的關鍵;衛教體位性低血壓是因為許多降壓藥可能引起此副作用,需教導緩慢起身;低鈉飲食可減少水鈉滯留。擅自停藥(選項C)是高血壓治療的大忌,血壓正常代表藥物有效,而非可以停藥。
Discharge planning for hypertension should include instructing the client to monitor and log blood pressure at home to evaluate treatment effectiveness, teaching recognition of orthostatic hypotension to prevent falls, and promoting low-sodium diets and regular physical activity. Clients must be educated to continue taking antihypertensive medications even when blood pressure is normal, as stopping abruptly can lead to rebound hypertension.
美國護理師常協調跨領域團隊(營養師、藥師);台灣則多由衛教護理師主導,病人較常詢問中藥併用問題。