# 一位服用 valproic acid 控制癲癇的個案說：「我想懷孕，所以我打算今天停藥。」護理師應如何回應？ > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=498727&lang=zh-tw > language: zh-TW > subject: Adverse Effects/Contraindications/Interactions > category: PPT ## 題目 一位服用 valproic acid 控制癲癇的個案說：「我想懷孕，所以我打算今天停藥。」護理師應如何回應？ ## 選項 1. 目前繼續服藥，並立即聯繫開立處方者進行孕前評估 **✔ 正確答案** 2. 今天停藥，因為胎兒風險大於癲癇失控的風險 3. 只在出現前兆時服藥，直到驗孕結果為陽性 4. 不聯繫開立處方者，自行以非處方補充品取代藥物 **正確答案: 1** ## 解析 Valproic acid 可能導致重大胎兒傷害，因此懷孕計畫需要立即由專科醫師評估，並在可能的情況下改用更安全的替代方案。突然停藥可能引發嚴重癲癇；個案應繼續目前療程，直到開立處方者指示改變。 ## 深入解析 快速解答 不要突然停用 valproic acid。在持續控制癲癇的同時，安排立即的孕前藥物評估。 為什麼這是正確的 Valproic acid 具有顯著的胎兒風險，但突然停藥可能引發嚴重或長時間的癲癇，同樣危及個案及懷孕。開立處方者應在可能的情況下，於受孕前規劃更安全的療程並進行轉換。 簡單比喻或心智圖像 改變癲癇治療就像在兩個錨點之間轉移支撐；只有在更安全的計畫穩固後，才能放開第一個。此類比不表示當有有效的更安全選項時，valproic acid 在懷孕期間是可接受的。 記憶掛鉤 懷孕計畫加上 valproate，意味著緊急評估、更安全的轉換，且不可突然停藥。 NCLEX 決策規則 當涉及致畸胎的抗癲癇藥物時，優先進行孕前專科評估，不可突然停藥。平衡胎兒風險與癲癇失控的立即危險。 為什麼其他選項是錯的 今天停藥可能誘發癲癇。僅在前兆時服藥無法維持預防效果，且未經處方的補充品無法安全取代抗癲癇治療。參考文獻 - [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing - [2]FDA: Valproic Acid Medication GuideU.S. Food and Drug Administration ## 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=498727&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=498727&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=498727&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=498727&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=498727&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。_