— 藥理與非經腸給藥 · MEDIUM · MCQ —
護理師評估病人對降血壓藥的反應。哪項結果需要護理介入？
A nurse is evaluating a client's response to an antihypertensive medication. Which finding requires nursing intervention?
- ADizziness upon standing✓ 正解站立時感到頭暈
- BBlood pressure of 110/70 mmHg血壓 110/70 mmHg
- CReports of mild dry mouth主訴輕微口乾
- DHeart rate of 72 bpm心率 72 bpm
— Explanation · 中文詳解 —
姿勢性低血壓（Orthostatic hypotension）是降血壓藥物的常見但需介入的症狀。若病人起身後頭暈，代表代償機制不足，護理師需教導緩慢起身、分段起床，若症狀持續則需回報醫師調整劑量。110/70 為正常範圍（B）。
Dizziness upon standing indicates orthostatic hypotension, a common side effect of antihypertensive medications that increases fall risk and requires nursing intervention. The nurse should teach the client to change positions slowly and monitor for persistent symptoms that may necessitate a medication adjustment.
✦ 台美臨床差異
美國護理系統強調 falls prevention protocol，台灣則多透過衛教降低風險。