# 階段 5 — 採取行動。恢復後，護理師應納入哪些衛教重點以減少鋰鹽毒性復發？（選擇所有適用）

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=568862&lang=zh-tw  
> language: zh-TW  
> subject: Health Promotion and Maintenance  
> category: HPM

## 題目

階段 5 — 採取行動。恢復後，護理師應納入哪些衛教重點以減少鋰鹽毒性復發？（選擇所有適用）

1

維持醫師處方之液體與飲食鹽分攝取一致，避免突然改變

2

若出現持續嘔吐、腹瀉、發燒或大量出汗，立即聯繫開立處方者

3

使用 NSAIDs、利尿劑或其他新藥物前，先詢問開立處方者或藥師

4

依排定時間接受鋰鹽、腎臟、甲狀腺及電解質監測

5

漏服後加倍下一次鋰鹽劑量，以恢復處方血清濃度

6

一旦情緒症狀受控，即停止排定的鋰鹽、腎臟、甲狀腺及電解質監測

## 解析

穩定的液體與鈉攝取、生病時聯繫、交互作用篩檢及持續的實驗室監測可降低復發。加倍劑量與停止監測不安全，因為鋰鹽治療範圍狹窄，且依賴腎臟與電解質狀態。

## 深入解析

快速解答
保持水分與鹽分攝取一致、使用生病日計畫、篩檢新藥物，並持續進行排定的實驗室檢查。

為何正確
當體液量、鈉平衡、腎功能或交互作用藥物改變時，鋰鹽濃度會變化。預防取決於及早辨識這些變化。

簡單比喻或心智圖像
鋰鹽在平穩的道路上最安全：穩定的鹽分、穩定的液體，以及定期的檢查點。

記憶口訣
穩定鹽分、穩定液體、篩檢藥物、排定檢驗。

NCLEX 決策規則
教導觸發-行動配對：生病或使用新藥物意味著聯繫與監測，而非自行調整劑量。

為何其他選項錯誤
加倍劑量可能導致毒性，且症狀控制並不能免除監測治療指數狹窄藥物的需要。

參考資料
1Lithium Carbonate Capsules Prescribing InformationLithium toxicity manifestations, dehydration risk, renal impairment, monitoring, and patient counseling
2Lithium and Lithium Carbonate Full Prescribing InformationDiuretic, NSAID, sodium, hydration, renal clearance, and serum monitoring interactions

## 臨床情境

案例更新
神經學與腎臟檢查結果正在改善。護理師開始與個案及家屬進行用藥安全衛教。

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