# 護理師教導病人fluticasone吸入器自我照護。哪一句話表示能預防常見不良反應的教學有效？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=391772&lang=zh-tw  
> language: zh-TW  
> subject: Medical Emergencies  
> category: PA

## 題目

護理師教導病人fluticasone吸入器自我照護。哪一句話表示能預防常見不良反應的教學有效？

## 選項

1. 「我只有在喘不過氣時才用這個吸入器。」
2. 「每次使用後我會用水漱口並吐掉，以預防鵝口瘡和聲音沙啞。」 **✔ 正確答案**
3. 「我會在運動前使用這個吸入器來預防症狀。」
4. 「如果peak flow降到基準值50%以下，我會增加劑量。」

**正確答案: 2**

## 解析

正解 (2): 吸入型皮質類固醇會沉積在口腔與咽部黏膜，增加口咽念珠菌感染（鵝口瘡）與發聲困難/聲音沙啞。每次使用後漱口並吐掉；使用spacer也能減少沉積。(1) ICS是控制藥，不是急救藥。(3) 運動前用albuterol（SABA）。(4) 急性調整劑量需依氣喘行動計畫與處方者。

## 深入解析

Memory Tip ICS = 吸入、漱口、吐掉。Spacer + 漱口可大幅降低鵝口瘡風險。若發生可用nystatin漱口吞服治療。

## 臨床情境

Scenario 26歲女性，持續性氣喘，開始使用fluticasone DPI 100 mcg BID作為控制藥。門診接受技巧與自我照護衛教。

## 重要概念

- **口咽念珠菌感染** — ICS沉積造成舌頭/喉嚨白斑；以nystatin口服懸液治療。
- **吸入型皮質類固醇** — Fluticasone、budesonide、beclomethasone、mometasone、ciclesonide；持續性氣喘每日控制藥。
- **發聲困難** — ICS沉積在聲帶造成沙啞；漱口與spacer可降低。

## 相同主題題目

- [A nurse is caring for an alert adult client with type 1 diabetes who reports tremors, swea…](https://mymerci.kr/pages/nclex_q.php?qn_id=360524&lang=zh-tw)
- [A 68-year-old client with COPD is admitted with shortness of breath and SpO2 86% on room a…](https://mymerci.kr/pages/nclex_q.php?qn_id=362940&lang=zh-tw)
- [A 58-year-old client arrives at the emergency department with crushing substernal chest pa…](https://mymerci.kr/pages/nclex_q.php?qn_id=362976&lang=zh-tw)
- [A 72-year-old client is brought to the emergency department by family who report that the …](https://mymerci.kr/pages/nclex_q.php?qn_id=363003&lang=zh-tw)
- [A 79-year-old client is admitted from a long-term care facility with diarrhea, decreased o…](https://mymerci.kr/pages/nclex_q.php?qn_id=363089&lang=zh-tw)
- [A 76-year-old female with chronic heart failure and atrial fibrillation receives digoxin 0…](https://mymerci.kr/pages/nclex_q.php?qn_id=374883&lang=zh-tw)
- [A 70-year-old client on long-term digoxin therapy reports new yellow-green halos around li…](https://mymerci.kr/pages/nclex_q.php?qn_id=374884&lang=zh-tw)
- [A 58-year-old client with type 2 diabetes mellitus and migraine prophylaxis is taking prop…](https://mymerci.kr/pages/nclex_q.php?qn_id=374893&lang=zh-tw)

## 以其他語言閱讀

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=391772&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=391772&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=391772&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=391772&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=391772&lang=vi)

---

More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw)

_僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_