# 一位病人因全身性紅斑狼瘡開始長期 hydroxychloroquine 治療。護理師應包含哪項指導？ > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=498853&lang=zh-tw > language: zh-TW > subject: Adverse Effects/Contraindications/Interactions > category: PPT ## 題目 一位病人因全身性紅斑狼瘡開始長期 hydroxychloroquine 治療。護理師應包含哪項指導？ ## 選項 1. 除非視覺症狀干擾閱讀或安全駕駛，否則省略眼部檢查 2. 當服藥後出現輕微噁心時，在沒有指導下停藥 3. 使用非處方眼藥水取代排定的視網膜檢查 4. 參加建議的視網膜篩檢，並立即通報新的視覺變化 **✔ 正確答案** **正確答案: 4** ## 解析 Hydroxychloroquine 視網膜毒性可能在病人注意到症狀前就已進展，且可能不可逆。建議的視網膜篩檢有助於早期發現，而新的視覺變化需要立即評估，而非自行停藥。 ## 深入解析 快速解答 在 hydroxychloroquine 治療期間，維持建議的視網膜檢查，並立即通報新的視覺變化。 為什麼這是正確的 以適當的視網膜檢查進行篩檢，可在實質功能喪失前偵測到毒性。風險取決於劑量、持續時間、腎功能及其他因素，因此眼科排程是個別化的，且症狀應觸發及時評估。 簡單比喻或心智圖像 視網膜篩檢就像在煙霧充滿房間前檢查煙霧偵測器。它可以揭示早期風險，但此類比並不表示每個視覺症狀都代表 hydroxychloroquine 毒性。 記憶掛鉤 Hydroxychloroquine 意味著視網膜排程加上快速通報視力變化。 NCLEX 決策規則 對於可能造成不可逆器官毒性的藥物，教導計畫性監測及早期症狀通報。不建議僅以症狀監測、自行停藥或舒適產品作為客觀篩檢的替代方案。 為什麼其他選項是錯的 等待功能受損可能錯失早期毒性。噁心不構成無監督下停藥的正當理由，而潤滑眼藥水無法評估視網膜損傷。參考文獻 - [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing - [2]Special AAO Report: Hydroxychloroquine Retinopathy Screening, 2025 RevisionAmerican Academy of Ophthalmology; Ophthalmology, 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=498853&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=498853&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=498853&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=498853&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=498853&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。_