# 一位正在積極哺乳的產後客戶，預定接受治療性碘化鈉 I 131。哪項措施是優先事項？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=522080&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## 題目

一位正在積極哺乳的產後客戶，預定接受治療性碘化鈉 I 131。哪項措施是優先事項？

## 選項

1. 停止並澄清 I 131，因為哺乳是禁忌症，且需要制定餵食計畫。 **✔ 正確答案**
2. 在一次餵食後繼續進行，並僅在下次常規門診訪視前丟棄擠出的乳汁。
3. 在哺乳後立即給予劑量，以限制嬰兒接觸放射性碘。
4. 在吸乳器周圍放置輻射屏蔽，並繼續正常的餵食時間表。

**正確答案: 1**

## 解析

治療性碘化鈉 I 131 在哺乳期間是禁忌症；停止哺乳和產後限制需要提前諮詢並制定明確的替代餵食計畫。

## 深入解析

快速解答
預防透過哺乳接觸放射性碘。

為什麼這是正確的
標籤要求在治療前停止哺乳或擠乳，並說明給藥後在產後剩餘期間不得恢復哺乳。

簡單類比或心像
將藥物安全想像成一個控制面板：識別危險信號，改變正確的控制，並驗證反應。

記憶點
線索、行動、反應、重新評估。

NCLEX 決策規則
選擇能預防最直接藥物相關危害的行動，同時保留持續的適應症。

為什麼其他選項是錯誤的
延遲升級、忽略禁忌症或未經授權改變治療的選項，並未關閉安全循環。References
1DailyMed: Sodium Iodide I 131Contraindication during lactation, pre-treatment cessation, and postpartum breastfeeding restrictions

## 臨床情境

藥物安全審查
驗證適應症、當前評估、實驗室趨勢、時機、交互作用、授權行動和可測量的後續追蹤。

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