— 降低風險 · MEDIUM · MCQ —
病人預計進行心導管檢查，下列哪項發現需立即回報醫師？
A client is scheduled for a cardiac catheterization. Which finding should be reported to the provider immediately?
- AThe client expresses anxiety about the procedure病人表示對該程序感到焦慮
- BThe client has not eaten for 8 hours病人已禁食8小時
- CThe client reports a mild headache病人報告輕微頭痛
- DThe client has an allergy to shellfish and iodine✓ 正解病人對貝類和碘過敏
— Explanation · 中文詳解 —
心導管檢查需使用顯影劑（Contrast medium），該顯影劑通常含碘。若病人對海鮮或碘過敏，可能會引發嚴重的過敏性休克，醫師必須評估是否需要預先給予抗過敏藥物或採取替代方案。其他選項皆為常見準備狀態，焦慮或頭痛不具備立即手術延期風險。
Cardiac catheterization requires the use of a contrast medium, which typically contains iodine. If the client is allergic to shellfish or iodine, severe anaphylactic shock can occur, and the physician must determine whether premedication with antiallergic agents or an alternative approach is required. The other options describe routine preparation; anxiety or a mild headache do not, in themselves, justify postponing the procedure.
✦ 台美臨床差異
美台對於顯影劑過敏的預防性用藥指引相似，皆要求在術前確認過敏史並評估腎功能。