# 護理師應給予開始服用 levothyroxine 的個案哪一項指示？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397255&lang=zh-tw  
> language: zh-TW  
> subject: Medication Administration  
> category: PPT

## 題目

護理師應給予開始服用 levothyroxine 的個案哪一項指示？

## 選項

1. 僅在出現疲勞症狀時服用藥物。
2. 每天早上在同一時間空腹服用藥物。 **✔ 正確答案**
3. 當脈搏恢復正常時停止服用藥物。
4. 與鈣補充劑一起服用以改善吸收。

**正確答案: 2**

## 解析

Levothyroxine 需持續服用，通常在早上空腹時服用，以維持穩定的吸收。不應只在需要時服用，也不應在沒有醫囑的情況下停藥。鈣會干擾吸收，通常需與劑量間隔開來。

## 深入解析

臨床判斷
使用個案線索、時間點、檢驗數據和安全風險，選擇最符合 Levothyroxine 給藥衛教的回應。

記憶提示
將最強的線索群與最安全的護理判斷配對。

KR vs US
NCLEX 考題獎勵基於線索的優先思考，而非單獨的回憶。

## 臨床情境

臨床實務指引
對於 Levothyroxine 給藥衛教，將完整的線索模式與個案當前的穩定性、醫囑數據和預期的護理範圍進行比較。

注意
當完整情境改變了優先順序或安全性時，不要僅根據單一線索選擇行動。

## 重要概念

- **Levothyroxine** — 用於治療甲狀腺功能低下的合成甲狀腺激素。
- **吸收** — 藥物從胃腸道進入血液循環的過程。
- **甲狀腺功能低下** — 一種甲狀腺激素活性不足的狀態。

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