病人接受靜脈注射呋塞米（Furosemide），給藥後護理師最優先應評估何項發現？
A client receives a dose of intravenous furosemide. Which finding is the most priority for the nurse to assess after administration?
- AMental status精神狀態
- BBlood pressure✓ 正解血壓
- CSkin turgor皮膚彈性
- DSerum potassium level血清鉀濃度
呋塞米作為強效利尿劑，靜脈給藥後水分排泄迅速，極易導致血容量驟減，進而引發低血壓。因此，給藥後評估血壓以預防跌倒及組織灌流不足是第一優先。鉀離子數值雖然重要，但通常在給藥後數小時至隔日才顯現，而非緊急評估項目。皮膚彈性與精神狀態用於長期的脫水監測。
Furosemide is a potent diuretic, and following IV administration water is excreted rapidly, which can cause an abrupt drop in circulating volume and subsequent hypotension. Therefore, assessing blood pressure after administration to prevent falls and inadequate tissue perfusion is the top priority. Potassium levels, while important, typically take hours to a day to manifest changes and are not the immediate assessment. Skin turgor and mental status are used for longer-term monitoring of dehydration.
台灣臨床護理師常依醫囑給藥，美國護理師依據 Assessment 決定是否給予利尿劑（PRN）的權限較大。