— 藥理與非經腸給藥 · MEDIUM · MCQ —
護理師準備給予一位 75 歲病人地高辛（Digoxin）。給藥前，哪項行動是必須的？
A nurse is administering digoxin to a 75-year-old client. Before giving the dose, which action is mandatory?
- ACheck the client's blood pressure測量病人的血壓
- BAssess the apical heart rate for 60 seconds✓ 正解聽診心尖脈搏 60 秒
- CAssess the client's respiratory rate評估病人的呼吸頻率
- DMonitor the serum potassium level within the last 24 hours監測過去 24 小時內的血清鉀濃度
— Explanation · 中文詳解 —
給予地高辛前，務必測量心尖脈（Apical pulse）滿一分鐘。若成人心跳低於 60 次/分，則應暫停給藥並通知醫師，以防心律不整或嚴重心跳過緩。雖然低血鉀會增加地高辛毒性，但測量脈搏是給藥前的直接護理檢查指標。
Before administering digoxin, the nurse must assess the apical pulse for one full minute because the drug can cause bradycardia. If the adult heart rate is below 60 beats per minute, the dose should be withheld and the provider notified to prevent serious arrhythmias.
✦ 台美臨床差異
兩地皆強制要求測量心尖脈，護理記錄中此為給藥前的必要查核項目。