— 降低風險 · MEDIUM · MCQ —
護理師為新診斷高血壓的病人進行出院指導。病人下列哪句話顯示其理解?
A nurse is providing discharge instructions to a client with a new diagnosis of hypertension. Which statement by the client indicates understanding?
- AI should limit my daily sodium intake to less than 2,300 mg✓ 正解我應該將每日鈉攝取量限制在 2,300 毫克以下
- BI will stop taking my blood pressure medication once my readings are normal一旦我的血壓讀數正常,我就會停止服用降血壓藥物
- CI only need to check my blood pressure when I feel dizzy我只在感到頭暈時才需要測量血壓
- DI can continue my daily habit of smoking cigarettes我可以繼續每天抽菸的習慣
— Explanation · 中文詳解 —
高血壓管理需長期抗戰。限制鈉攝取量至 2,300 mg 以下(甚至更低)是控制血壓的基石。擅自停藥(選項 B)是導致血壓反彈的主因;吸菸(選項 D)會持續損害血管;血壓往往是沈默的殺手,無症狀時更需規律監測(選項 C)。
Sodium restriction to less than 2,300 mg daily is a fundamental non-pharmacological intervention for managing hypertension. The other options reflect misconceptions, such as stopping medication prematurely, relying on symptoms for monitoring, or continuing smoking, all of which compromise long-term blood pressure control.
✦ 台美臨床差異
美式衛教更強調 DASH 飲食模式的推廣;台灣醫療資源便利,病人對服藥依順性較易受偏方干擾,需持續強化教育。