— 照護管理 · MEDIUM · MCQ —
護理師對一位剛經歷心肌梗塞的病人進行出院指導，病人說出下列哪句話表示他理解了？
A nurse is providing discharge teaching to a client recovering from a myocardial infarction. Which statement by the client indicates understanding?
- A"I will call my doctor if I experience chest pain that lasts more than 5 minutes."✓ 正解"如果出現持續超過 5 分鐘的胸痛，我會打電話給我的醫生。"
- B"It's okay to stop taking my cholesterol medication if I feel fine.""如果我感覺良好，停用膽固醇藥物是可以的。"
- C"I can resume my previous strenuous exercise routine immediately.""我可以立即恢復之前的劇烈運動習慣。"
- D"I should avoid all physical activity to prevent another heart attack.""我應該避免所有體力活動以防止再次心肌梗塞。"
— Explanation · 中文詳解 —
心肌梗塞（MI）後，病人需學習識別再發的徵兆。胸痛是心肌缺血的典型表現，若持續超過 5 分鐘且無法緩解，可能是再次梗塞或心絞痛加劇的警訊，應立即就醫。適度活動對恢復很重要（D錯誤），應逐步增加，而非完全避免。規律運動需在醫師指導下進行（C錯誤）。抗膽固醇藥物對預防再梗塞至關重要，不可自行停藥（B錯誤）。
The client demonstrates understanding by recognizing that chest pain lasting more than five minutes may indicate recurrent myocardial ischemia and requires immediate medical attention. Patients should not stop cholesterol medications abruptly, resume strenuous exercise immediately, or avoid all physical activity without medical guidance.