— 藥理與非經腸給藥 · MEDIUM · MCQ —
一位有青黴素過敏史的病人被開立頭孢唑啉（Cefazolin）。護理師最好的行動是什麼？
A client with a history of penicillin allergy is prescribed cefazolin. What is the nurse's best action?
- AAdminister the medication with Benadryl與 Benadryl 併用給藥
- BClarify the order with the physician✓ 正解向醫師澄清醫囑
- CGive the medication and monitor for rash給藥並監測皮疹
- DCheck if the client has a history of anaphylaxis確認個案是否有過敏性休克的病史
— Explanation · 中文詳解 —
青黴素（Penicillins）與頭孢菌素（Cephalosporins）具交叉敏感性。若病人有嚴重過敏史，使用頭孢菌素存在風險。護理師應先暫停給藥，聯絡醫師確認過敏嚴重度以及是否有替代用藥，保護病人安全。
Penicillins and cephalosporins exhibit cross-sensitivity. If the patient has a history of severe allergy, use of a cephalosporin carries risk. The nurse should hold the medication and contact the provider to confirm the severity of the allergy and whether alternative agents are available, thereby protecting patient safety.
✦ 台美臨床差異
美國醫院對於交叉過敏的警示系統較嚴謹，通常由藥師介入審核；台灣則仰賴醫師與護理師的臨床經驗確認。