護理師照顧一位出現乳膠過敏症狀的病人，應優先執行哪項措施？

乳膠過敏（latex allergy）的反應可能從輕微的皮膚紅腫搔癢到嚴重的全身性過敏反應（anaphylaxis）。當病人出現過敏症狀時，首要的臨床決策是立即移除過敏原，以終止或減緩身體持續接觸過敏物質的過程，進而抑制過敏反應的進一步發展。在移除過敏原之後，才考慮給予藥物治療（如抗組織胺）或通知醫療提供者進行後續評估與處置。記錄症狀是標準護理程序，但不是最優先的緊急措施。 臨床思路：此題考量過敏反應的緊急處理。在處理急性過敏反應時，應遵循「移除過敏原 → 評估與治療 → 通知醫囑」的優先順序。ABC原則（Airway, Breathing, Circulation）是處理任何危急狀況的基礎，而移除過敏原是維護呼吸道暢通和循環穩定的第一步。

Reactions to a latex allergy can range from mild skin redness and itching to severe anaphylaxis. When a client develops allergic symptoms, the first clinical decision is to immediately remove the allergen to stop or slow continued exposure and prevent further progression of the allergic reaction. Only after the allergen has been removed should the nurse consider administering medication (such as antihistamines) or notifying the provider for further evaluation and management. Documenting symptoms is part of standard nursing process but is not the top priority in an emergency. Clinical reasoning: this question addresses emergency management of an allergic reaction. In handling an acute allergic reaction, the priority should follow "remove the allergen → assess and treat → notify the provider." The ABC principle (Airway, Breathing, Circulation) is the foundation of managing any emergency, and removing the allergen is the first step in maintaining airway patency and circulatory stability.