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藥理與非經腸給藥 · MEDIUM · MCQ

護理師正準備給予哌拉西林-他唑巴坦(piperacillin-tazobactam)的靜脈輸注。病人已知對盤尼西林(penicillin)過敏。首要的護理措施為何?

A nurse is preparing to administer an IV infusion of piperacillin-tazobactam. The client has a known allergy to penicillin. What is the priority nursing action?

  • AAdminister a test dose first.
    先给予测试剂量
  • BHold the medication and notify the physician.✓ 正解
    暂停给药并通知医师
  • CAdminister the medication with an antihistamine.
    给予抗组织胺的同时给药
  • DAdminister the medication as prescribed.
    依处方给药
Explanation · 中文詳解

Piperacillin-tazobactam 屬於廣效性盤尼西林類抗生素。對於有盤尼西林過敏史的病人,給予此藥可能引發交叉過敏反應,甚至導致致命的過敏性休克(anaphylaxis)。護理師的核心責任是確保用藥安全(Safety),當病人有過敏史時,護理師必須採取預防措施,先行暫停給藥並聯繫醫師確認處方的適當性與風險效益,這是防止藥物不良反應的首要步驟。

Piperacillin-tazobactam is a broad-spectrum penicillin-class antibiotic. In a client with a known penicillin allergy, administration can trigger a cross-reactive allergic response, including potentially fatal anaphylaxis. The nurse's central responsibility is to ensure medication safety: when an allergy history is documented, the nurse must hold the drug and contact the physician to verify the appropriateness and risk-benefit of the order. This is the essential first step in preventing serious adverse drug reactions.

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