— 藥理與非經腸給藥 · HARD · MCQ —
護理師正給予萬古黴素（vancomycin）的靜脈輸注。病人有聽力喪失病史。護理師應密切監測哪個潛在的副作用？
A nurse is administering an IV infusion of vancomycin. The client has a history of hearing loss. The nurse should monitor which potential adverse effect closely?
- AOtotoxicity✓ 正解耳毒性
- BHepatotoxicity肝毒性
- CNephrotoxicity腎毒性
- DThrombocytopenia血小板減少症
— Explanation · 中文詳解 —
萬古黴素（Vancomycin）具有潛在的耳毒性（Ototoxicity）與腎毒性（Nephrotoxicity）。對於已有聽力喪失病史的病人，藥物引起的第八對腦神經受損風險更高。護理師在給藥過程中，應持續評估病人的聽力狀況、有無耳鳴或眩暈感，並根據醫師指示監測藥物血中濃度（Trough level）。
Vancomycin has potential ototoxicity and nephrotoxicity. In clients with a pre-existing history of hearing loss, the risk of drug-induced damage to the eighth cranial nerve is even greater. During administration, the nurse should continuously assess the client's hearing status, the presence of tinnitus or vertigo, and monitor the drug's trough serum level as ordered by the physician.