— 藥理與非經腸給藥 · EASY · MCQ —
護理師正在檢視一位被處方 lisinopril 的病人出院指導。哪位病人的陳述需要澄清？
A nurse is reviewing discharge instructions for a client prescribed lisinopril. Which client statement requires clarification?
- A"I should take this medication every morning."✓ 正解我應該每天早上服用這劑藥物。
- B"I can take this medication with or without food."我可以隨餐或空腹服用這劑藥物。
- C"I need to report any swelling of my lips or tongue."我需要回報嘴唇或舌頭的任何腫脹。
- D"I should avoid salt substitutes containing potassium."我應該避免使用含有鉀的代鹽。
— Explanation · 中文詳解 —
血管收縮素轉換酶抑制劑（ACE inhibitors, 如 lisinopril）的使用衛教重點在於辨識副作用與用藥安全。雖然 lisinopril 通常建議每日一次，但並沒有強制要求必須在「早上」服用，該選項屬於護理師不必要的限制，因此需要澄清。臨床上，安全衛教的核心在於監測致命性副作用（如血管水腫）與飲食禁忌（高血鉀），這些均為病人必須具備的知識。
The client's statement requires clarification because lisinopril should be taken consistently rather than strictly in the morning; imposing a specific time limit is unnecessary. Critical education points include monitoring for angioedema and avoiding potassium-rich salt substitutes due to the risk of hyperkalemia.