# 在出院衛教時，一位剛開立胰島素處方的個案說：「我買不起這個藥，所以我只會在感覺血糖高的時候才用。」護理師應採取何項行動？ > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=498726&lang=zh-tw > language: zh-TW > subject: Client Rights > category: MOC ## 題目 在出院衛教時，一位剛開立胰島素處方的個案說：「我買不起這個藥，所以我只會在感覺血糖高的時候才用。」護理師應採取何項行動？ ## 選項 1. 告訴個案減少每次胰島素劑量，讓藥量能撐更久 2. 完成出院手續，並建議個案若出現症狀再打電話到診所 3. 暫停出院，並與照護團隊協調可負擔的藥物選項 **✔ 正確答案** 4. 在檢視任何其他替代方案前，先請親屬購買胰島素 **正確答案: 3** ## 解析 個案已指出藥物取得障礙，使得出院計畫不安全。護理師應與開立處方者、藥師、個案管理師或社工協調，在個案離開前建立可負擔的治療方案。 ## 深入解析 快速解答 暫停出院，並在個案離開前與跨專業照護團隊解決胰島素取得障礙。 為什麼這是正確的 胰島素是高風險藥物，根據症狀配給使用可能導致嚴重的血糖不穩定。出院計畫應確認個案能取得並使用開立的治療方案，包括考量費用的替代方案或協助資源。 簡單比喻或心智圖像 出院處方就像一座橋樑計畫；如果個案無法取得過橋所需的材料，這座橋就不安全。此類比強調取得管道，但開立處方者與藥師必須決定臨床上合適的替代方案。 記憶掛鉤 買不起必要藥物，就意味著在出院前解決取得問題，而非等到失敗後。 NCLEX 決策規則 當個案表示費用將阻礙遵從性時，應將此障礙視為當前的安全問題。在出院前協調藥物、財務與追蹤資源，而非建議自行調整。 為什麼其他選項是錯的 在沒有醫囑的情況下減少劑量是不安全的。在沒有可行計畫下出院會延遲行動，而依賴親屬則假設了資源，卻繞過了可用的臨床與財務選項。參考文獻 - [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing - [2]AHRQ: Help Patients Pay Less for MedicineAgency for Healthcare Research and Quality - [3]AHRQ PSNet: Discharge Planning and Transitions of CareAgency for Healthcare Research and Quality ## 相同主題題目 - [A 45-year-old male is alert and oriented ×4 and is actively bleeding from a gastrointestin…](https://mymerci.kr/pages/nclex_q.php?qn_id=372683&lang=zh-tw) - [A 70-year-old Vietnamese-speaking woman is admitted for syncope evaluation. Her 18-year-ol…](https://mymerci.kr/pages/nclex_q.php?qn_id=372701&lang=zh-tw) - [A 56-year-old patient scheduled for an elective hip replacement tomorrow tells the nurse, …](https://mymerci.kr/pages/nclex_q.php?qn_id=372748&lang=zh-tw) - [A nurse is giving a handoff report for a client whose blood pressure is falling and urine …](https://mymerci.kr/pages/nclex_q.php?qn_id=397242&lang=zh-tw) - [A nurse receives a telephone prescription to administer potassium chloride by IV push for …](https://mymerci.kr/pages/nclex_q.php?qn_id=397302&lang=zh-tw) - [A client being evaluated for intermittent chest pain says, "I need to leave now." The clie…](https://mymerci.kr/pages/nclex_q.php?qn_id=497624&lang=zh-tw) - [A nurse realizes that an assessment completed earlier in the shift was not documented. Whi…](https://mymerci.kr/pages/nclex_q.php?qn_id=497913&lang=zh-tw) - [A medical unit wants to reduce client falls using the Plan-Do-Study-Act approach. Which ac…](https://mymerci.kr/pages/nclex_q.php?qn_id=498087&lang=zh-tw) ## 以其他語言閱讀 - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=498726&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=498726&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=498726&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=498726&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=498726&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。_