— 藥理與非經腸給藥 · HARD · MCQ —
一位有氣喘病史的病人被開立了心得安（Propranolol）。護理師優先採取的行動為何？
A nurse is caring for a client with a history of asthma who is prescribed propranolol. What is the priority nursing action?
- AMonitor the client's blood glucose levels監測病人的血糖水平
- BQuestion the order with the physician✓ 正解向醫師質疑該醫囑
- CInstruct the client to take the medication at night指示病人在夜間服藥
- DAdminister the medication with a glass of milk讓病人用一杯牛奶送服藥物
— Explanation · 中文詳解 —
Propranolol 是一種非選擇性 beta 受體阻斷劑，會導致支氣管收縮。對於氣喘病人，此藥可能誘發嚴重氣喘發作，因此屬於禁忌用藥。護理師應主動質疑醫囑，並與醫師確認是否有替代藥物（如 cardioselective beta-blocker）。
Propranolol is a non-selective beta-blocker that can cause bronchoconstriction, making it contraindicated for clients with asthma. The priority nursing action is to question the prescription with the healthcare provider to prevent potentially fatal respiratory distress and seek a safer alternative.
✦ 台美臨床差異
美台皆強調專業判斷力，若發現禁忌症均需第一時間與醫師溝通而非盲目執行。