— 安全與感染控制 · MEDIUM · MCQ —
護理師照護一位對乳膠過敏的病人，哪項行動最優先？
A nurse is caring for a client with a latex allergy. Which action is the priority?
- AKeep antihistamines at the bedside將抗組織胺放在床邊
- BAvoid the use of all latex-containing equipment✓ 正解避免使用所有含乳膠的設備
- CEnsure the cart is labeled with 'Latex-free'確保推車標示為「無乳膠」
- DUse powder-free gloves使用無粉手套
— Explanation · 中文詳解 —
乳膠過敏（Latex Allergy）反應可輕可重，嚴重者可能導致過敏性休克（Anaphylaxis）。護理師照護此類病人時，首要目標是消除暴露源。乳膠存在於多種醫療用品中（如手套、止血帶、導尿管、靜脈注射管路接口），僅僅更換手套是不夠的。優先級（Priority）思維應為「移除過敏原」，因為一旦接觸，護理師無法預測病人的過敏反應程度。
Latex allergy reactions range from mild to severe, with severe cases potentially leading to anaphylaxis. When caring for such clients, the nurse's foremost goal is to eliminate exposure sources. Latex is present in a wide range of medical supplies (gloves, tourniquets, urinary catheters, IV tubing connectors); simply changing gloves is insufficient. The priority mindset must be 'remove the allergen,' because once contact occurs, the nurse cannot predict the severity of the client's reaction.