病人在接受靜脈抗生素注射後出現皮疹。護理師應採取哪些措施？（選所有適合的）
A nurse is caring for a client who develops a rash after receiving IV antibiotics. Which actions should the nurse perform? (Select all that apply.)
- AStop the antibiotic infusion immediately✓ 正解立即停止抗生素輸注
- BNotify the healthcare provider✓ 正解通知醫療提供者
- CAssess the airway and breathing✓ 正解評估呼吸道與呼吸狀況
- DAdminister an antihistamine as ordered✓ 正解依醫囑給予抗組織胺
- EDocument the incident in the medical record✓ 正解於病歷中記錄此事件
靜脈輸注抗生素後出現皮疹（Rash）是藥物過敏的警訊，可能進展為致命的過敏性休克（Anaphylactic shock）。護理優先順序遵循 ABC 原則（Airway, Breathing, Circulation）。首先必須立即停止輸注以終止過敏原進入體內，接著評估氣道與呼吸狀況，並通知醫療團隊進行緊急處置（如給予腎上腺素、抗組織胺或類固醇）。最後，完成病歷記錄是確保醫療品質與法律保障的必要環節。
The appearance of a rash after IV antibiotic administration is a warning sign of drug allergy and may progress to life-threatening anaphylactic shock. Nursing priorities follow the ABC principle (Airway, Breathing, Circulation). First, the infusion must be stopped immediately to halt further entry of the allergen, then the airway and breathing status must be assessed, and the medical team must be notified to initiate emergency management (e.g., epinephrine, antihistamines, or steroids). Finally, completing documentation in the medical record is a necessary step for quality of care and legal protection.