# 一位服用 propylthiouracil 治療甲狀腺功能亢進的個案主訴發燒和喉嚨痛。護理師應採取何項措施？ > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=498890&lang=zh-tw > language: zh-TW > subject: Adverse Effects/Contraindications/Interactions > category: PPT ## 題目 一位服用 propylthiouracil 治療甲狀腺功能亢進的個案主訴發燒和喉嚨痛。護理師應採取何項措施？ ## 選項 1. 暫停下一劑藥物、通知開立處方者，並準備進行緊急白血球計數 **✔ 正確答案** 2. 隨餐給予預定劑量，並於今日稍後在診所重新評估喉嚨狀況 3. 建議使用非處方感冒產品，並繼續目前的治療計畫 4. 解釋這些症狀是甲狀腺激素濃度下降時的預期現象 **正確答案: 1** ## 解析 服用 propylthiouracil 期間出現發燒和喉嚨痛，可能表示有顆粒性白血球缺乏症。應暫停藥物，同時聯繫開立處方者並安排白血球評估，因為感染可能迅速惡化。 ## 深入解析 快速解答 暫停 propylthiouracil，並針對發燒和喉嚨痛緊急評估是否為顆粒性白血球缺乏症。 為什麼這是正確的 Propylthiouracil 極少數情況下可能導致嚴重嗜中性球減少。發燒或喉嚨痛可能是感染的首發訊號，因此繼續用藥或掩蓋症狀可能延誤對潛在危及生命之不良反應的辨識。 簡單比喻或心智圖像 白血球就像一支感染應變小組；顆粒性白血球缺乏症可能導致應變人員不足。此類比說明了危險性，但無法在未經實驗室評估的情況下診斷該狀況。 記憶掛鉤 PTU 加上發燒或喉嚨痛，意味著暫停、聯繫、並計算細胞數量。 NCLEX 決策規則 對於與嚴重血球異常相關的藥物，應將新發生的感染症狀視為安全警訊。依指示暫停進一步暴露、通知開立處方者，並取得必要的血液計數，而非僅提供症狀上的安撫。 為什麼其他選項是錯的 隨餐服用無法消除顆粒性白血球缺乏症的風險。感冒產品可能掩蓋病情進展，而感染症狀並非甲狀腺治療成功的預期徵象。參考文獻 - [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing - [2]DailyMed: Propylthiouracil Prescribing InformationU.S. National Library of Medicine, updated November 2025 ## 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=498890&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=498890&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=498890&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=498890&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=498890&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。_