— 藥理與非經腸給藥 · MEDIUM · SATA —
病人獲處方具耳毒性的藥物，護理師應監測哪些症狀？（選所有適合的）
A client is prescribed a medication that is known to be ototoxic. Which symptoms should the nurse monitor for? (Select all that apply.)
- ATinnitus✓ 正解耳鸣
- BVertigo✓ 正解眩晕
- CHearing loss✓ 正解听力丧失
- DPhotosensitivity光敏感
- EAtaxia✓ 正解共济失调
— Explanation · 中文詳解 —
耳毒性藥物（如 Aminoglycosides）會影響第八對腦神經（前庭耳蝸神經）。症狀包含耳鳴（Tinnitus）、眩暈（Vertigo）、聽力損失（Hearing loss），以及因平衡功能受損引發的共濟失調（Ataxia）。光敏感（Photosensitivity）通常與皮膚毒性或抗生素（如 Tetracyclines）相關，與耳毒性無關。
Ototoxic medications (such as aminoglycosides) damage cranial nerve VIII (the vestibulocochlear nerve). Symptoms include tinnitus, vertigo, hearing loss, and ataxia caused by impaired balance. Photosensitivity is generally associated with dermatologic toxicity or with antibiotics such as tetracyclines and is unrelated to ototoxicity.
✦ 台美臨床差異
兩地護理師對藥物副作用監測的準則一致，教育重點皆在於「早期發現、即刻回報」。