# 一位慢性腎臟病的個案已接受紅血球生成素治療 4 週。下列哪一項發現最能支持治療有效？ > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=498859&lang=zh-tw > language: zh-TW > subject: Adverse Effects/Contraindications/Interactions > category: ROR ## 題目 一位慢性腎臟病的個案已接受紅血球生成素治療 4 週。下列哪一項發現最能支持治療有效？ ## 選項 1. 血紅素從 8.2 上升至 9.4 g/dL，且個案表示疲倦感減輕 **✔ 正確答案** 2. 治療開始後血壓從 128/76 上升至 168/94 mm Hg 3. 血紅素達到 12.6 g/dL，且下次回診時未重新評估即繼續原劑量 4. 再次每週給藥後，血清鉀離子從 5.1 降至 3.4 mEq/L **正確答案: 1** ## 解析 紅血球生成素可刺激紅血球生成，以減少貧血及輸血需求。血紅素逐漸上升且疲倦感改善，支持治療有效；而高血壓或過高的血紅素目標則會增加傷害。 ## 深入解析 快速解答 血紅素逐漸上升且疲倦感減輕，顯示紅血球生成素的預期反應。 為什麼這是正確的 慢性腎臟病可能減少內生性紅血球生成素及紅血球製造。紅血球生成素應使血紅素在監測下上升，並改善貧血症狀，同時調整劑量以避免過快或過度升高。 簡單比喻或心智圖像 紅血球生成素就像以受控速率增加工廠的紅血球產量。這個比喻解釋了漸進式的反應，但並未設定通用的血紅素目標，也無法取代依劑量進行的監測。 記憶掛鉤 紅血球生成素治療成功，代表血紅素逐漸恢復且貧血症狀減少。 NCLEX 決策規則 以受控的血液學改善來判斷紅血球生成刺激劑的療效，而非不相關的電解質變化。將高血壓或過高的血紅素上升視為安全疑慮，需要重新評估。 為什麼其他選項是錯的 顯著高血壓是副作用。血紅素過高而未檢視劑量會增加心血管風險，且紅血球生成素並非用於降低鉀離子。參考文獻 - [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing - [2]DailyMed: Epogen Prescribing InformationU.S. National Library of Medicine, updated July 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=498859&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=498859&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=498859&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=498859&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=498859&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。_