— 照護管理 · MEDIUM · MCQ —
一位禁食預備手術的病人對乳膠過敏，護理師的首要行動為何？
A nurse is caring for a client who is NPO and scheduled for surgery. The nurse notes that the client has a history of latex allergy. Which action is the highest priority?
- APlace a latex-allergy identification band on the client's wrist在病人手腕上佩戴乳膠過敏識別手環
- BDocument the allergy in the electronic medical record在電子病歷中記錄過敏史
- CNotify the surgical team and the operating room staff✓ 正解通知外科團隊及手術室人員
- DEnsure all equipment used is latex-free確保所有使用的設備均不含乳膠
— Explanation · 中文詳解 —
面對乳膠過敏病人，最危險的環境就是手術室，因為手術器具極可能含有乳膠成分。優先通知手術團隊與開刀房是為了確保病人進入手術室前，環境已完成無乳膠（Latex-free）的準備，這是防止術中發生嚴重過敏性休克的關鍵。
For a patient with latex allergy, the most dangerous environment is the operating room because surgical equipment frequently contains latex components. Notifying the surgical team and OR staff as a priority ensures that a latex-free environment is prepared before the patient enters the OR, which is critical for preventing a serious anaphylactic reaction intraoperatively.
✦ 台美臨床差異
美國醫院有嚴格的 Latex-free 手術排程與清單，台灣則需護理師主動在術前會診（Pre-op visit）時多次確認。