— 基本照護與舒適 · MEDIUM · MCQ —
病人在靜脈注射抗生素後出現嚴重搔癢，護理師應先執行哪項措施？
A client reports severe itching after receiving a new intravenous antibiotic. Which intervention should the nurse perform first?
- AStop the medication infusion✓ 正解停止藥物輸注
- BAdminister an antihistamine給予抗組織胺
- CTake the client's vital signs測量病人的生命徵象
- DDocument the allergic reaction記錄過敏反應
— Explanation · 中文詳解 —
當病人在使用新藥物（如抗生素）期間出現過敏反應（如搔癢、蕁麻疹），護理師應立即停止輸注該藥物（Stop the infusion）。這是阻斷過敏原進入體內的最直接與關鍵的行動。後續護理包括測量生命徵象（評估有無過敏性休克）、通知醫師、視醫囑給予抗組織胺或腎上腺素，並在病歷中詳細記錄過敏反應。保護病人的安全需優先於任何行政程序。
When a client exhibits signs of an allergic reaction such as itching during an IV infusion, the nurse must immediately stop the medication to prevent further exposure to the allergen. Subsequent actions include assessing vital signs, notifying the provider, and administering prescribed treatments, but stopping the infusion is the critical first step for patient safety.