# 一位類風濕性關節炎病人新開立口服 methotrexate 7.5 mg 每日一次。護理師應採取何項行動？ > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=498275&lang=zh-tw > language: zh-TW > subject: Adverse Effects/Contraindications/Interactions > category: PPT ## 題目 一位類風濕性關節炎病人新開立口服 methotrexate 7.5 mg 每日一次。護理師應採取何項行動？ ## 選項 1. 暫停給藥並澄清處方的給藥時程 **✔ 正確答案** 2. 每日隨病人最大餐的餐食給藥 3. 將處方劑量分配於早、晚餐服用 4. 給藥時併用葉酸並維持每日給藥時程 **正確答案: 1** ## 解析 針對類風濕性關節炎，口服 methotrexate 通常處方於指定週間日，錯誤的每日給藥曾導致致命毒性。7.5 mg 每日一次的處方需在給藥前澄清。 ## 深入解析 快速解答 暫停給藥並澄清每日給藥時程。用於類風濕性關節炎的 methotrexate 通常安排於指定週間日，每日給藥時程可能導致嚴重毒性。 為什麼這是正確的 適應症與給藥頻率不符合常見的類風濕性關節炎療程。澄清可避免重複暴露，重複暴露可能導致骨髓抑制、黏膜損傷、肝損傷、感染及死亡。 簡單比喻或心智圖像 指定的 methotrexate 日就像排定的保養回診，而非每日維他命例行公事。每日給藥會將數個計畫好的間隔壓縮成一個危險的序列，但此類比不決定癌症療程或個別處方的劑量。 記憶掛鉤 類風濕性關節炎加上 methotrexate 表示要檢查週間日；每日給藥是暫停並澄清的訊號。 NCLEX 決策規則 當高風險藥物的處方與其適應症特定頻率相衝突時，在給藥前暫停給藥並澄清。添加食物或葉酸無法修正不安全的給藥時程。 為什麼其他選項是錯的 食物無法使每日的類風濕性關節炎給藥時程變得安全。分配劑量仍維持不安全的給藥頻率，而葉酸可能減少部分不良反應，但無法抵銷每日給藥的錯誤。參考文獻 - [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing - [2]FDA: Methotrexate Tablets Prescribing InformationU.S. Food and Drug Administration, revised 05/2026 ## 相同主題題目 - [A nurse is reviewing the morning lab results for an adult client receiving warfarin for at…](https://mymerci.kr/pages/nclex_q.php?qn_id=360515&lang=zh-tw) - [A client is admitted to the emergency department after ingesting an unknown amount of acet…](https://mymerci.kr/pages/nclex_q.php?qn_id=362720&lang=zh-tw) - [A client with chronic heart failure is prescribed metoprolol 25 mg orally twice daily. Bef…](https://mymerci.kr/pages/nclex_q.php?qn_id=362756&lang=zh-tw) - [A 28-year-old client with type 1 diabetes receives regular insulin 6 units and NPH insulin…](https://mymerci.kr/pages/nclex_q.php?qn_id=362792&lang=zh-tw) - [A client receives IV vancomycin 1 g every 12 hours for MRSA bacteremia. Before the next do…](https://mymerci.kr/pages/nclex_q.php?qn_id=362833&lang=zh-tw) - [A client with bipolar disorder has been taking lithium carbonate 600 mg orally three times…](https://mymerci.kr/pages/nclex_q.php?qn_id=362894&lang=zh-tw) - [An 80-year-old male with heart failure is prescribed digoxin 0.125 mg daily. During mornin…](https://mymerci.kr/pages/nclex_q.php?qn_id=372686&lang=zh-tw) - [A 38-year-old female with rheumatoid arthritis is being discharged with a new prescription…](https://mymerci.kr/pages/nclex_q.php?qn_id=372687&lang=zh-tw) ## 以其他語言閱讀 - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=498275&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=498275&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=498275&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=498275&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=498275&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。_