# 護理師教導照顧者如何使用rivastigmine經皮貼片。哪一句話表示教學有效？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=391758&lang=zh-tw  
> language: zh-TW  
> subject: Medical Emergencies  
> category: PA

## 題目

護理師教導照顧者如何使用rivastigmine經皮貼片。哪一句話表示教學有效？

## 選項

1. 「我會貼5天後再更換。」
2. 「我會先移除前一片，再貼新貼片，且每天輪換貼的位置。」 **✔ 正確答案**
3. 「我會把貼片剪小來調整劑量。」
4. 「如果第一片掉下來，我會一次貼兩片。」

**正確答案: 2**

## 解析

正解 (2): Rivastigmine patch為每日一次使用；貼新片前必須移除舊片，以避免雙重給藥與膽鹼毒性。輪換部位可預防皮膚刺激。(1) 同時貼兩片會過量。(3) 剪貼片會破壞控釋基質。(4) 5天才換會給藥不足。

## 深入解析

Memory Tip Rivastigmine patch: 一片、一天、一個新位置。記錄舊貼片已移除，是關鍵安全檢查。

## 臨床情境

Scenario 照顧者正在接受rivastigmine 9.5 mg/24小時貼片衛教，用於Alzheimer病的父母。

## 重要概念

- **經皮貼片** — 經皮膚以受控速率給藥；rivastigmine patch可減少口服ChEi的GI副作用。
- **貼片移除確認** — 貼新貼片前一定要確認並記錄已移除前一片。
- **貼片部位輪換** — 每天更換貼片位置以避免皮膚刺激並維持穩定吸收。

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