護理師正準備給予一種新抗生素的靜脈點滴輸注。病人有數種藥物過敏史。最重要的護理措施是什麼?
A nurse is preparing to administer an IV piggyback infusion of a new antibiotic. The client has a history of allergic reactions to several medications. What is the most important nursing action?
- AAdminister a test dose before the full infusion.在完全輸注前給予測試劑量
- BAdminister the antibiotic slowly over 1 hour.在 1 小時內緩慢給予抗生素
- CEnsure emergency equipment is readily available.✓ 正解確保急救設備隨時可用
- DAsk the client to describe the previous allergic reactions.請病人描述之前的過敏反應
病人若有多重藥物過敏史,使用新抗生素時發生嚴重過敏反應(如過敏性休克)的機率增加。NCLEX 考試中,處理過敏反應的優先順序為「安全第一」。確保急救設備(Emergency equipment/crash cart)在旁,是為了在突發呼吸道梗阻或休克時,能立即進行搶救,這是護理師執行給藥前的必要準備工作。
When a client has multiple drug allergies, the risk of a severe allergic reaction, such as anaphylactic shock, increases when a new antibiotic is administered. On the NCLEX, the priority in managing allergic reactions is "safety first." Ensuring that emergency equipment or a crash cart is readily available is necessary preparation before medication administration so that resuscitation can be initiated immediately in the event of sudden airway obstruction or shock.