護理師正在發放晨間藥物。在給藥前，護理師應針對哪項藥物向醫師進一步核對？
The nurse is administering morning medications. Which medication should the nurse clarify with the healthcare provider before administration?
- AMetoprolol 25 mg PO to a client with a heart rate of 72 bpm將Metoprolol 25 mg PO給予心率為72 bpm的病人
- BAtorvastatin 20 mg PO to a client with a total cholesterol of 220 mg/dL將Atorvastatin 20 mg PO給予總膽固醇為220 mg/dL的病人
- CFurosemide 40 mg PO to a client with a potassium level of 3.2 mEq/L✓ 正解將Furosemide 40 mg PO給予血鉀濃度為3.2 mEq/L的病人
- DWarfarin 5 mg PO to a client with an INR of 2.5將Warfarin 5 mg PO給予INR為2.5的病人
Furosemide（Lasix）是一種強效的環利尿劑（Loop Diuretic），會導致鉀離子的排泄增加。此病人的血鉀濃度為 3.2 mEq/L，已低於正常範圍（3.5-5.0 mEq/L）。在病人已經處於低血鉀狀態下，繼續給予排鉀利尿劑會加劇電解質失衡，可能引發致命的心律不整。護理師應先暫緩給藥並聯繫醫師，評估是否需要補充鉀離子或調整劑量。相比之下，選項 A 的心律正常，選項 D 的 INR 處於華法林的典型治療區間（2-3），選項 B 的膽固醇略高正是該藥物的適應症。這題考驗的是將實驗室數據與藥理作用結合的批判性思考能力。
The DASH diet is an evidence-based intervention that significantly lowers blood pressure and fosters patient engagement through collaborative planning. This approach empowers the client to take an active role in managing their condition, which is more effective than fear-based education or immediate high-dosage medication for lifestyle modifications. Physical activity should be encouraged rather than stopped, as it supports cardiovascular health.
美國 NCLEX 非常強調『暫緩給藥並報告』的安全性決策；在台灣，護理師有時會直接聯絡醫師詢問是否要順便補 K+，但在考試邏輯中，『安全性核對』是第一優先動作。