# 服用 lithium 的個案表示嘔吐、明顯粗大手抖與新出現混亂。護理師首先應做什麼？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394022&lang=zh-tw  
> language: zh-TW  
> subject: Medication Administration  
> category: PPT

## 題目

服用 lithium 的個案表示嘔吐、明顯粗大手抖與新出現混亂。護理師首先應做什麼？

## 選項

1. 暫停 lithium 並通知醫療人員。 **✔ 正確答案**
2. 將下一劑與一整杯水一起給予。
3. 告訴個案這些是治療初期的預期反應。
4. 鼓勵限制鈉攝取。

**正確答案: 1**

## 解析

嘔吐、粗大顫抖與混亂令人擔心 lithium 中毒。護理師應暫停 lithium、評估個案，並通知醫療人員以取得 lithium 濃度與治療醫囑。限制鈉可能增加 lithium 滯留並惡化中毒風險。

## 深入解析

臨床判斷
lithium 安全範圍窄，神經變化合併腸胃症狀是用藥安全警訊。

記憶重點
lithium 中毒：腸胃不適、顫抖、混亂。

## 臨床情境

實務指引
MedlinePlus 列出 lithium 中毒症狀包括嘔吐、顫抖、混亂與口齒不清，並說明需要及時協助與 lithium 濃度評估。

注意
脫水、鈉變化、腎臟問題與交互作用藥物會增加 lithium 中毒風險。

## 重要概念

- **Lithium** — 用於雙極性疾患的情緒穩定劑，因可能中毒而需監測。
- **治療指數** — 有效劑量與中毒劑量之間的安全範圍。
- **粗大顫抖** — 較大且明顯的顫抖，可能表示藥物中毒或神經問題。

## 相同主題題目

- [An older adult with heart failure is scheduled to receive digoxin. The apical pulse is 54/…](https://mymerci.kr/pages/nclex_q.php?qn_id=393662&lang=zh-tw)
- [An older adult with heart failure is scheduled to receive digoxin. The apical pulse is 54/…](https://mymerci.kr/pages/nclex_q.php?qn_id=393663&lang=zh-tw)
- [A hospitalized client has a blood glucose of 118 mg/dL and is prescribed rapid-acting insu…](https://mymerci.kr/pages/nclex_q.php?qn_id=393722&lang=zh-tw)
- [A client taking lithium reports vomiting, coarse hand tremors, and new confusion. Which ac…](https://mymerci.kr/pages/nclex_q.php?qn_id=394021&lang=zh-tw)
- [A client arrives at the emergency department 2 hours after taking a large amount of acetam…](https://mymerci.kr/pages/nclex_q.php?qn_id=394049&lang=zh-tw)
- [A postoperative client who received IV morphine is difficult to arouse. Respirations are 7…](https://mymerci.kr/pages/nclex_q.php?qn_id=394070&lang=zh-tw)
- [A client uses an albuterol inhaler for wheezing and asks what side effect may occur. Which…](https://mymerci.kr/pages/nclex_q.php?qn_id=394106&lang=zh-tw)
- [The nurse teaches a client about insulin glargine. Which statement by the client indicates…](https://mymerci.kr/pages/nclex_q.php?qn_id=394115&lang=zh-tw)

## 以其他語言閱讀

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=394022&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=394022&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=394022&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=394022&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=394022&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。_